Academic Otolaryngology Associates, LLC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

OS008674L Issued in PA

Legal business name

ACADEMIC OTOLARYNGOLOGY ASSOCIATES, LLC

Practice address

1501 Lansdowne Ave Ste 209
Darby, PA 19023-1333

Phone

(484) 494-5515

NPI assigned

Jan 24, 2014

Last updated

Jan 24, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mahmoud Ghaderi, D.O.NPI 1689645632

Title

Proprietor

Phone

(484) 494-5595

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/vHLmhTUEuZU9-C7EaUC6GMW9dKqEQxFt/

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mahmoud Ghaderi, DO

  • Otolaryngology Physician
  • Darby, PA
  • NPI 1689645632
  Authorized official Same address or phone
• Steven E Ladenheim, MD

  • Otolaryngology Physician
  • Media, PA
  • NPI 1841353091
  NPD (past)

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

{
    "created_epoch": "1390521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390521600000",
    "number": "1952724072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 W COHAWKIN RD STE C",
            "city": "CLARKSBORO",
            "state": "NJ",
            "postal_code": "080201145",
            "telephone_number": "856-423-7700",
            "fax_number": "856-423-0823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 LANSDOWNE AVE STE 209",
            "city": "DARBY",
            "state": "PA",
            "postal_code": "190231333",
            "telephone_number": "484-494-5515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACADEMIC OTOLARYNGOLOGY ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-24",
        "last_updated": "2014-01-24",
        "status": "A",
        "authorized_official_last_name": "GHADERI",
        "authorized_official_first_name": "MAHMOUD",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "484-494-5595",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "PA",
            "license": "OS008674L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mubarak Abdalla
• Abul Hasan Shadali Abdul Khader
• Aisha Abdul Sattar, MD
• Ahmad Abed, M.D.
• Reshma Saerah Abey, MD
• Asisat Adewale
• Eric Bruce Adkins, MS
• Advanced HHS LLC (Advanced Health and Human Resources)
• Advanced Vascular and Wound Associates Inc
• Advocate Home Health Care Inc

• Otolaryngology Physician in Darby, PA
• Providers in Darby, PA by specialty
• Otolaryngology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2014; 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.