ATLANTIC ENT GROUP LLC – NPI #1629294079
Otolaryngology

An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.

Health Care Provider Taxonomy Code for Otolaryngology

ATLANTIC ENT GROUP LLC is an otolaryngologist located in RED BANK, NJ. NPPES has assigned the NPI number 1629294079 to ATLANTIC ENT GROUP LLC on April 17, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207YX0007X from the Health Care Provider Taxonomy code set, which is classified as Otolaryngology, specializing in Plastic Surgery within the Head & Neck

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ATLANTIC ENT GROUP LLC below.

NPI Profile for
ATLANTIC ENT GROUP LLC

NPI Number
1629294079
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ATLANTIC ENT GROUP LLC
Primary location
370 STATE HIGHWAY 35
SUITE 100
RED BANK, NJ 07701
Phone: (732) 530-7799 Fax: (732) 530-9091
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ANTHONY DEGENNARO
PRESIDENT
Phone: (732) 530-7799
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207YX0007X
- Otolaryngology / Plastic Surgery within the Head & Neck (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.