Ear, Nose And Throat Group Of Central New Jersey
Otolaryngology, Plastic Surgery within the Head & Neck in Edison, NJ. Organization (NPI-2).
NPI number1669924718
StatusActive
Last updated in NPPESJun 27, 2018
Details
- NPI
- 1669924718
- Entity type
- Organization (NPI-2)
- Legal business name
- Ear, Nose And Throat Group Of Central New Jersey
- Organization subpart
- No
- Enumeration date
- Oct 25, 2016
- Last updated
- Jun 27, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207YX0007X | Otolaryngology, Plastic Surgery within the Head & Neck | 25ma05408700 | NJ | Yes |
Other names
- Ear, Nose And Throat Group Of Cnj (Doing Business As)
Practice location
2124 Oak Tree Rd Fl 2Edison, NJ 08820
Phone 732-205-1311 · Fax 732-205-9648
Mailing address
23 Nevsky StEdison, NJ 08820-2425
Phone 732-205-1311 · Fax 732-205-9648
Authorized official
Robert I Park
Ceo
7322051311
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Other Plastic Surgery within the Head & Neck (Otolaryngology) Physician providers in Edison, NJ
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