EAR, NOSE AND THROAT GROUP OF CNJ – NPI #1669924718
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.

EAR, NOSE AND THROAT GROUP OF CNJ is an otolaryngologist located in EDISON, NJ. NPPES has assigned the NPI number 1669924718 to EAR, NOSE AND THROAT GROUP OF CNJ on October 25, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “EAR, NOSE AND THROAT GROUP OF CNJ” is a dba name, the actual legal business name for this organization is EAR, NOSE AND THROAT GROUP OF CENTRAL NEW JERSEY. 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 8 years ago on Jun 27, 2018. 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 EAR, NOSE AND THROAT GROUP OF CNJ below.

NPI Profile for
EAR, NOSE AND THROAT GROUP OF CENTRAL NEW JERSEY

NPI Number
1669924718
Enumeration Date

(more than 9 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
EAR, NOSE AND THROAT GROUP OF CENTRAL NEW JERSEY
Doing Business As (dba): EAR, NOSE AND THROAT GROUP OF CNJ
Primary location
2124 OAK TREE RD FL 2
EDISON, NJ 08820
Phone: (732) 205-1311 Fax: (732) 205-9648
Mailing address
23 NEVSKY ST
EDISON, NJ 08820-2425
Phone: (732) 205-1311 Fax: (732) 205-9648
Organization Subpart
No
Authorized Official
ROBERT PARK
CEO
Phone: (732) 205-1311
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)
NJ 25MA05408700

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.