PINNACLE ENT ALLIANCE OF NEW JERSEY LLC (NPI# 1104264555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104264555 |
| Entity Type | Organization |
| Organization Name | PINNACLE ENT ALLIANCE OF NEW JERSEY LLC |
| Practice Address |
2835 S Delsea Dr Suite D Vineland NJ 08360-7056 |
| Mailing Address |
994 Old Eagle School Rd Suite 1017 Wayne PA 19087-1802 |
| Practice Telephone | 8562050800 |
| Practice Fax Number | 8562050024 |
| Mailing Telephone | 6109026092 |
| Mailing Fax Number | 6109026081 |
| Enumeration Date | 2013-06-07 |
| Last Update Date | 2013-06-07 |
| Authorized Official Name | MARC I SURKIN (PRESIDENT) |
| Authorized Official Telephone | 6109026092 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
Allopathic & Osteopathic Physicians |
| Street Address |
2835 S DELSEA DR SUITE D |
| City | VINELAND |
| State | NJ |
| Zip Code | 08360-7056 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285639732 | Helen L Slone | Internal Medicine | 2835 S Delsea Dr, Ste D, Vineland, NJ 08360-7056 | 2005-06-20 |
| 1891977351 | Morgenstern Center for Orbital and Facial Plastic Surgery of Nj LLC | Ophthalmology | 2835 S Delsea Dr, Vineland, NJ 08360-7056 | 2007-11-27 |
| 1073529244 | George R Kenner Jr. | Otolaryngology | 2835 S Delsea Dr, Suite D, Vineland, NJ 08360-7056 | 2006-07-31 |
| 1962447094 | Emil P. Liebman | Specialist | 2835 S Delsea Dr, Suite D, Vineland, NJ 08360-7079 | 2006-06-20 |
| 1316980550 | Melvin L. Masloff | Specialist | 2835 S Delsea Dr, Suite D, Vineland, NJ 08360-7079 | 2006-06-14 |
| 1467493692 | Ophthalmic Associates, Pa | Ophthalmology | 2835 S Delsea Dr, Vineland, NJ 08360-7079 | 2006-06-09 |
| 1194762534 | South Jersey Ent Associates | Otolaryngology | 2835 S Delsea Dr, Suite D, Vineland, NJ 08360-7079 | 2006-06-02 |
| 1558341032 | South Jersey Surgicenter, Inc | Clinic/Center | 2835 S Delsea Dr, Vineland, NJ 08360-7079 | 2006-01-19 |
| 1558352567 | Robert Victor Miller | Ophthalmology | 2835 S Delsea Dr, Vineland, NJ 08360-7079 | 2005-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215534748 | Lindsay Gibbons | Social Worker | 60 W Ave, Vineland, NJ 08360 | 2020-10-07 |
| 1033769849 | Buena Vista Township Emergency Medical Services Inc. | Ambulance | 4931 E. Landis Ave., Vineland, NJ 08360 | 2019-09-13 |
| 1669037636 | Elwyn New Jersey | Day Training, Developmentally Disabled Services | Elwyn New Jersey Supported Employment Small Group, 228 W. Landis Avenue, Suite 302, Vineland, NJ 08360 | 2019-05-06 |
| 1972001519 | Kyle James Knowles | Physician Assistant | 1138 East Chestnut Avenue, Building 8 Suite B, Vineland, NJ 08360 | 2018-01-29 |
| 1205346574 | Maryville, Inc | Clinic/Center | 1173 E Landis Ave, Vineland, NJ 08360 | 2017-10-02 |
| 1184147043 | Sarah Lee | Pharmacist | 75 W Landis Ave, Vineland, NJ 08360 | 2017-07-24 |
| 1780111419 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 30 D'shibe Terrace, Vineland, NJ 08360 | 2017-05-12 |
| 1528414810 | Khushbu V Janani | Internal Medicine | 1505 W Sherman Avenue, Inspira Health Network, Vineland, NJ 08360 | 2016-05-05 |
| 1669841409 | University Womens Imaging LLC | Clinic/Center | 1051 West Sherman Avenue, Suite 4a, Vineland, NJ 08360 | 2015-09-23 |
| 1710369350 | Elwyn New Jersey | Day Training, Developmentally Disabled Services | 46 N West Ave, Building A, Vineland, NJ 08360 | 2015-06-19 |
| Find all providers in zip 08360 | ||||
| Taxonomy Code | 207YX0905X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otolaryngology/Facial Plastic Surgery |
| An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922416387 | Jan Czerepak | Otolaryngology | 325 Molnar Dr, Elmwood Park, NJ 07407-3207 | 2014-07-30 |
| 1386968220 | Lawrence Gordon Md Pllc | Otolaryngology | 521 Route 515, Vernon, NJ 07462-3033 | 2010-03-22 |
| 1093953762 | Alan M. Tell, Md | Otolaryngology | 140 Prospect Ave., Suite 7, Hackensack, NJ 07601-2260 | 2009-02-03 |
| 1093872640 | Frank S Dimauro | Otolaryngology | 106 E Jimmie Leeds Rd, Galloway, NJ 08205-9508 | 2007-01-02 |
| 1770507337 | Scott L Busch | Otolaryngology | 1797 Springdale Rd, Cherry Hill, NJ 08003-2136 | 2006-07-27 |
| 1013940717 | Scott Richard Schaffer | Otolaryngology | 406 Lippincott Dr Ste F, Marlton, NJ 08053-4168 | 2006-07-08 |
| 1376586412 | David Bromberg | Otolaryngology | 292 Hurffville Grenloch Rd, Suite 100, Sewell, NJ 08080-2656 | 2006-06-14 |
| 1871551812 | Francis Michael Jampol | Otolaryngology | 900 Lanidex Plz Ste 300, Parsippany, NJ 07054-2707 | 2006-05-01 |
| 1467428623 | Alvin Daniel Dubin | Otolaryngology | 1924 Route 70 E, Cherry Hill, NJ 08003-2118 | 2006-02-27 |
| 1568441988 | Amy D. Lazar | Otolaryngology | 245 Us Highway 22 Fl 3, Bridgewater, NJ 08807-2560 | 2006-01-13 |
| Find all providers with the same taxonomy | ||||
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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.