MICHAEL ANDREW TAVILL (NPI# 1417030792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417030792 |
| Entity Type | Individual |
| Full Name | MICHAEL ANDREW TAVILL |
| Credential | MD |
| Practice Address |
1131 Broad Street Ste 103 Shrewsbury NJ 07702 |
| Mailing Address |
660 White Plains Rd Fl 4 Tarrytown NY 10591-5139 |
| Practice Telephone | 7323893388 |
| Practice Fax Number | 7323893389 |
| Mailing Telephone | 9149842546 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2019-04-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YP0228X |
Otolaryngology Specialization: Pediatric Otolaryngology |
25MA06549000 | NJ | Allopathic & Osteopathic Physicians |
| N | 207YS0012X |
Otolaryngology Specialization: Sleep Medicine |
25MA06549000 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
1131 BROAD STREET STE 103 |
| City | SHREWSBURY |
| State | NJ |
| Zip Code | 07702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346295854 | Shrewsbury Diagnostic Imaging, LLC | Radiology | 1131 Broad Street, Suite 110 B, Shrewsbury, NJ 07702 | 2006-05-23 |
| 1548887979 | Christina Tornatore | Audiologist | 1131 Broad Street, Suite 103, Shrewsbury, NJ 07702 | 2020-07-01 |
| 1972759025 | Ernest F Wiggins IIi | Radiology | 1131 Broad Street, Suite 110, Shrewsbury, NJ 07702-4334 | 2008-08-08 |
| 1265517999 | Steve John Paragioudakis | Orthopaedic Surgery | 1131 Broad Street, Suite 201, Shrewsbury, NJ 07702-4329 | 2006-10-25 |
| 1144303421 | Eric Lee Winarsky | Otolaryngology | 1131 Broad Street, Suite102, Shrewsbury, NJ 07702 | 2006-10-23 |
| 1063516441 | John Lewis Saporito | Otolaryngology | 1131 Broad Street, Ste 102, Shrewsbury, NJ 07702 | 2006-09-07 |
| 1083718456 | Darsit Kanaiyalal Shah | Otolaryngology | 1131 Broad Street, Ste 103, Shrewsbury, NJ 07702 | 2006-09-07 |
| 1326095688 | Stanley Lu | Radiology | 1131 Broad Street, Suite 110, Shrewsbury, NJ 07702 | 2006-05-30 |
| 1427003920 | Yasmeen K. Shariff | Radiology | 1131 Broad Street, Suite 110, Shrewsbury, NJ 07702 | 2006-05-23 |
| 1649225160 | Salman Rashid | Radiology | 1131 Broad Street, Suite 110, Shrewsbury, NJ 07702 | 2006-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477965457 | Courtney Anderson | Psychologist | 40 Avenue At The Cmn Ste 203, Shrewsbury, NJ 07702 | 2014-05-27 |
| 1952723264 | Encore Dental of Shrewsbury | Dentist | 40 Shrewsbury Plaza, Shrewsbury, NJ 07702 | 2014-01-07 |
| 1952503393 | Dana L Essner | Nurse Practitioner | 655 Shrewsbury Ave Ste 206, Shrewsbury, NJ 07702 | 2007-06-05 |
| 1265646764 | Marvin Jeffrey Sher | Dentist | 23 White Street, Shrewsbury, NJ 07702 | 2007-05-10 |
| 1467679076 | Lori A. Magoulas | Dietitian, Registered | 39 Avenue At The Common, Suite 106, Shrewsbury, NJ 07702 | 2007-04-18 |
| 1932247459 | Judith Lorraine Krusell | Psychologist | 322 Sycamore Avenue, Shrewsbury, NJ 07702 | 2007-02-05 |
| 1114070539 | Jessica L Federici | Social Worker | 812 Broad St, Shrewsbury, NJ 07702 | 2007-01-19 |
| 1043363583 | Nursefinders Inc | Home Health | 170 Avenue At The Common, Suite 1, Shrewsbury, NJ 07702 | 2007-01-19 |
| 1598816365 | Mitchell Jeffrey Gardiner | Dentist | 59 Avenue At The Common, Suite 205, Shrewsbury, NJ 07702 | 2007-01-16 |
| 1144383837 | Global Healthcare Alliances, LLC | Skilled Nursing Facility | 39 Ave At The Commons, Suite 206, Shrewsbury, NJ 07702 | 2006-12-18 |
| Find all providers in zip 07702 | ||||
| Taxonomy Code | 207YP0228X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Pediatric Otolaryngology |
| A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043204332 | Jeffrey Ginsburg | Otolaryngology | 51 State Rt 23, Riverdale, NJ 07457-1625 | 2005-09-01 |
| 1063056208 | Stc Pediatrics LLC | Otolaryngology | 100 Kings Way E Ste C, Sewell, NJ 08080-2238 | 2019-10-31 |
| 1457726986 | Pediatric Otolaryngologic Associates | Otolaryngology | 2 S Summit Ave, 2nd Floor, Hackensack, NJ 07601-1117 | 2015-12-09 |
| 1134562143 | Christen Lennon Caloway | Otolaryngology | 90 Bergen St Ste 8100, Newark, NJ 07103 | 2013-04-09 |
| 1457675589 | Ryan D Walker | Otolaryngology | 200 Bowman Drive, Suite D-285, Voorhees, NJ 08043 | 2010-03-18 |
| 1033387766 | Michael Y Chee | Otolaryngology | 30 Prospect Ave, Wfan- PC311, Hackensack, NJ 07601 | 2008-02-15 |
| 1669533766 | Diana N Traquina | Otolaryngology | 181 Somerset St, New Brunswick, NJ 08901-1946 | 2006-12-12 |
| 1639276009 | Bruce Allen Edelman | Otolaryngology | 557 Cranbury Rd Ste 3, East Brunswick, NJ 08816-5419 | 2006-09-20 |
| 1174563027 | Joel W Levitt | Otolaryngology | 769 Northfield Ave, Suite Ll2, West Orange, NJ 07052-1198 | 2006-06-08 |
| 1124075460 | Sharyar Daniel Samadi | Otolaryngology | 10 Forest Ave, 100, Paramus, NJ 07652-5242 | 2006-05-30 |
| Find all providers with the same taxonomy | ||||
| City | SHREWSBURY |
| Zip Code | 07702 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.