Metropolitan Ear Nose and Throat & Facial Plastic Surgery PA

Primary specialty

Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X

License

25MA06012300 Issued in NJ

Legal business name

METROPOLITAN EAR NOSE AND THROAT & FACIAL PLASTIC SURGERY PA

Practice address

201 S Livingston Ave
Suite 2G
Livingston, NJ 07039-4043

Phone

(973) 716-9716

Fax

(973) 716-9738

NPI assigned

May 25, 2007

Organization subpart

No

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

Authorized official

Name

Derek S Lee, MDNPI 1932206521

Title

Ceo

Phone

(973) 716-9716

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

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

• Derek S Lee, MD

  • Otolaryngology/Facial Plastic Surgery Physician
  • Livingston, NJ
  • NPI 1932206521
  Medicare reassignment Authorized official
• Liza Mari Spitaletto, RN

  • Registered Nurse First Assistant
  • Livingston, NJ
  • NPI 1073747580
  NPD (past)

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302220800000",
    "number": "1922219484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S LIVINGSTON AVE",
            "address_2": "SUITE 2G",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070394043",
            "telephone_number": "973-716-9716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S LIVINGSTON AVE",
            "address_2": "SUITE 2G",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070394043",
            "telephone_number": "973-716-9716",
            "fax_number": "973-716-9738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPOLITAN EAR NOSE AND THROAT & FACIAL PLASTIC SURGERY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2011-04-08",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "973-716-9716",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "NJ",
            "license": "25MA06012300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Meltzer, LCSW, BCD
• Josette Rafil Mendonca
• Jeffrey Alan Mermelstein, D.M.D.
• John Mesa, M.D.
• Metro Pediatric Cardiology Associates
• Metropolitan Speech & Language Center, LLC
• Jennifer Meyers, RD
• Michael Gutkin MD LLC
• Michael Plotno, D.M.D. - Shari Lynne Summers, D.M.D., P.a.
• Michael S. Miller DDS PA

• Otolaryngology/Facial Plastic Surgery Physician in Livingston, NJ
• Providers in Livingston, NJ by specialty
• Otolaryngology/Facial Plastic Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.