Central Jersey Otolaryngology LLC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

CENTRAL JERSEY OTOLARYNGOLOGY LLC

Practice address

1131 Broad St
Suite 103
Shrewsbury, NJ 07702-4329

Phone

(732) 389-3388

Fax

(732) 389-3389

NPI assigned

Nov 19, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michael A Tavill

Title

Partner

Phone

(732) 389-2438

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Arvind Prabhat, MD

  • Otolaryngology/Facial Plastic Surgery Physician
  • Shrewsbury, NJ
  • NPI 1003910472
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1258588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258588800000",
    "number": "1851629471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 BROAD ST",
            "address_2": "SUITE 103",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024329",
            "telephone_number": "732-389-3388",
            "fax_number": "732-389-3389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 BROAD ST",
            "address_2": "SUITE 103",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024329",
            "telephone_number": "732-389-3388",
            "fax_number": "732-389-3389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL JERSEY OTOLARYNGOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-19",
        "last_updated": "2009-11-19",
        "status": "A",
        "authorized_official_last_name": "TAVILL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "732-389-2438"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ileana Larrauri Cavanagh, D.M.D.
• Rainnier M Centeno, PH.D
• Center for Dermatologic Care, LLC
• Center for the Functional Restoration of the Spine LLC
• Central Jersey Center for Foot & Ankle Surgery, LLC
• Justyna M Cerefin, PA-C
• Champion Health, LLC
• Jennifer Champion
• Jennifer Lynne Chaney, M.S.W LCSW
• Eun Hae Chang, MD

• Otolaryngology Physician in Shrewsbury, NJ
• Providers in Shrewsbury, NJ by specialty
• Otolaryngology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.