ATLANTIC ENT ASSOCIATES, P.A. (NPI# 1790998805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790998805 |
Entity Type | Organization |
Organization Name | ATLANTIC ENT ASSOCIATES, P.A. |
Practice Address |
2640 Highway 70 Building 6b Manasquan NJ 08736-2609 |
Practice Telephone | 7322238686 |
Practice Fax Number | 7322236572 |
Mailing Telephone | 7322238686 |
Mailing Fax Number | 7322236572 |
Enumeration Date | 2007-05-07 |
Last Update Date | 2011-01-19 |
Authorized Official Name | MRS. ROXANNE D HOFFMANN (OFFICE MANAGER) |
Authorized Official Telephone | 7322238686 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
MB55529 | NJ | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NJ | 6217401 | 05 |
Street Address |
2640 HIGHWAY 70 BUILDING 6B |
City | MANASQUAN |
State | NJ |
Zip Code | 08736-2609 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386646040 | Paul M Friedman | Internal Medicine | 2640 Highway 70, Bldg 6a, Manasquan, NJ 08736 | 2005-08-12 |
1407119811 | Specific Chiropractic Clinics of Nj, Inc | Chiropractor | 2640 Highway 70, Building 8, Suite 201, Manasquan, NJ 08736-2609 | 2012-06-20 |
1730413550 | Shivendra Pandey Md PC | Internal Medicine | 2640 Highway 70, Suite 101b Building 12, Manasquan, NJ 08736-2609 | 2009-09-25 |
1023260411 | Frank R Victor | Chiropractor | 2640 Highway 70, Building 5, Manasquan, NJ 08736-2609 | 2008-10-16 |
1528243631 | Sol Solutions LLC | Dermatology | 2640 Highway 70, Building 5, Suite 200, Manasquan, NJ 08736-2609 | 2008-01-08 |
1508046616 | Immediate Care and Family Medical Center LLC | Family Medicine | 2640 Highway 70, Bldg 12, Suite 102, Manasquan, NJ 08736-2609 | 2007-11-06 |
1174672018 | Elizabeth Mary Merkler | Dentist | 2640 Highway 70, Suite 2c, Manasquan, NJ 08736-2609 | 2007-01-09 |
1306924410 | Nubar G Tchilinguirian | Obstetrics & Gynecology | 2640 Highway 70, Manasquan, NJ 08736-2609 | 2006-11-02 |
1861506958 | Jane O Go | Pediatrics | 2640 Highway 70, Bldg 2a, Manasquan, NJ 08736-2609 | 2006-08-18 |
1790759983 | Philip Louis Infantolino | Specialist | 2640 Highway 70, Building 11, Manasquan, NJ 08736-2609 | 2006-02-14 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871068726 | Primary Care Providers, LLC | Nurse Practitioner | 2640 Hwy 70, Bldg.5 Suite 102b, Manasquan, NJ 08736 | 2018-10-08 |
1740767359 | Shannon Weaver | Midwife | 2671 Hwy 70, Manasquan, NJ 08736 | 2018-07-26 |
1639661887 | Savvymed | Durable Medical Equipment & Medical Supplies | 2517 Highway 35 Ste 103, Manasquan, NJ 08736 | 2018-06-04 |
1396241618 | Vicki Curran | Counselor | 147 Union Lane, Suite 202, Manasquan, NJ 08736 | 2018-04-04 |
1700304086 | Michael Joseph Panella | Psychologist | 2414 Route 34, Suite 103, Manasquan, NJ 08736 | 2017-09-06 |
1720513153 | Michael P Keenan | Health Educator | 93 Atlantic Ave, Manasquan, NJ 08736 | 2017-04-24 |
1285069245 | Victoria Helen Tancsak | Counselor | 200 Atlantic Ave Suite G, Manasquan, NJ 08736 | 2013-09-10 |
1427497841 | Sushma Patel | Optometrist | 2516 Highway 35 Ste 104, Manasquan, NJ 08736 | 2013-06-19 |
1972852523 | Adam Wesley Thomas | Counselor | 2519 Route 35 South, #m203, Manasquan, NJ 08736 | 2012-08-29 |
1710259635 | George Francis Larkin I | Dentist | 2517 St. Hwy. 35, Bldg. G Suite202, Manasquan, NJ 08736 | 2012-02-08 |
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Taxonomy Code | 207YS0123X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
Specialization | Facial Plastic Surgery |
An otolaryngologist who specializes in facial plastic surgery. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate was, but is no longer issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013209626 | Mitchell Josef Faktor | Otolaryngology | 2528 River Rd, Manasquan, NJ 08736-2130 | 2011-05-15 |
1558346825 | Ronald Joseph Iannacone | Otolaryngology | 2640 Highway 70, Bldg 6b, Manasquan, NJ 08736 | 2005-12-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881027308 | Hb Group, Inc | Otolaryngology | 100 Commons Way Ste 701, Holmdel, NJ 07733-2935 | 2013-08-20 |
1073888434 | Joseph Bayer Vella | Otolaryngology | Rutgers - Robert Wood Johnson University, 10 Plum Street, New Brunswick, NJ 08901 | 2012-03-19 |
1861780173 | Ruslan Zhuravsky | Otolaryngology | 1001 Hwy 9 Ste 107, Howell, NJ 07731-3301 | 2011-07-20 |
1760698716 | Jeffrey Bruce Wise | Otolaryngology | 1680 Route 23 Ste 120, Wayne, NJ 07470-7520 | 2007-05-15 |
1184843971 | Kenneth S Rosen | Otolaryngology | 1811 Country Club Dr, Cherry Hill, NJ 08003-3313 | 2007-04-24 |
1487790085 | Francis Tsao | Otolaryngology | 311 Lexington Ave, Paterson, NJ 07502-1010 | 2007-01-30 |
1215032768 | Edmund S. Liu | Otolaryngology | 207 Pompton Ave, Verona, NJ 07044-3018 | 2006-09-13 |
1700808938 | David Lewis | Otolaryngology | 216 Engle St Ste 101, Englewood, NJ 07631-2428 | 2006-07-24 |
1063482651 | Mark Karolak | Otolaryngology | 208 Jack Martin Blvd, Brick, NJ 08724-7770 | 2006-01-25 |
1558347351 | Ear, Nose, Throat and Facial Plastic Surgeons, P.a. | Otolaryngology | 51 Rt 23 South, Floor 2, Riverdale, NJ 07457 | 2005-12-22 |
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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.