Individual provider Active NPI

Charles Martin Schultz, MD

  • Otolaryngology Physician
  • Parsippany, NJ
National Provider Identifier
1962580910
Registry record updated Nov 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
25MA02687600 Issued in NJ
Practice address
3219 Route 46
Suite 203
Parsippany, NJ 07054-1278
Phone
(973) 394-1818
Fax
(973) 394-1810
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 25MA02687600 NJ Primary

Addresses

Primary practice location

3219 Route 46
Suite 203
Parsippany, NJ 07054-1278

Mailing address

560 White Plains Road
Suite 500 - Enta
Tarrtytown, NY 10591-5112
Phone (914) 333-5800

Other identifiers 1

IdentifierTypeStateIssuer
25MA02687600OtherNJLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA02687600NJMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Jersey Ear Nose Throat & Hearing Ctr Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322438400000",
    "number": "1962580910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 WHITE PLAINS ROAD",
            "address_2": "SUITE 500 - ENTA",
            "city": "TARRTYTOWN",
            "state": "NY",
            "postal_code": "105915112",
            "telephone_number": "914-333-5800",
            "fax_number": "914-333-2544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3219 ROUTE 46",
            "address_2": "SUITE 203",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070541278",
            "telephone_number": "973-394-1818",
            "fax_number": "973-394-1810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "CHARLES",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2011-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NJ",
            "license": "25MA02687600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "25MA02687600",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parsippany, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; 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.