Organization Active NPI

ENT Sinus and Sleep Center

  • Facial Plastic Surgery Physician
  • Colonia, NJ
National Provider Identifier
1902575129
Registry record updated Sep 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
Legal business name
ENT SINUS AND SLEEP CENTER
Practice address
15 Prospect LN Ste 2G
Colonia, NJ 07067-3048
Phone
(732) 574-1777
Fax
(732) 574-2707
NPI assigned
Sep 10, 2021
Organization subpart
Yes
Parent organization
ENT SINUS AND SLEEP CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 23, 2021

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

Authorized official

Name
Dr. Thomas Frank Mazzoni, DO
Title
Physician
Phone
(908) 721-8292

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Facial Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207YS0123X Primary

Addresses

Primary practice location

15 Prospect LN Ste 2G
Colonia, NJ 07067-3048

Mailing address

1253 Springfield Ave Ste 351
New Providence, NJ 07974-2931
Phone (732) 574-1777

National Provider Directory

National Provider Directory
Part of
ENT Sinus and Sleep Center

Locations

1253 Springfield Ave
Ste 351
New Providence, NJ 07974

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1631232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632355200000",
    "number": "1902575129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1253 SPRINGFIELD AVE STE 351",
            "city": "NEW PROVIDENCE",
            "state": "NJ",
            "postal_code": "079742931",
            "telephone_number": "732-574-1777",
            "fax_number": "732-574-2707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 PROSPECT LN STE 2G",
            "city": "COLONIA",
            "state": "NJ",
            "postal_code": "070673048",
            "telephone_number": "732-574-1777",
            "fax_number": "732-574-2707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENT SINUS AND SLEEP CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ENT SINUS AND SLEEP CENTER",
        "enumeration_date": "2021-09-10",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A",
        "authorized_official_last_name": "MAZZONI",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "908-721-8292",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colonia, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; 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.