FIRST STATE ENT ASSOCIATION INC (NPI# 1497137491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497137491 |
| Entity Type | Organization |
| Organization Name | FIRST STATE ENT ASSOCIATION INC |
| Other Organization Name | FIRST STATE ENT ASSOCIATION |
| Practice Address |
774 Christiana Road Neuroscience Building Ste B4 Newark DE 19713-4236 |
| Practice Telephone | 3022662449 |
| Practice Fax Number | 3022662450 |
| Mailing Telephone | 3022662449 |
| Mailing Fax Number | 3022662450 |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2016-06-06 |
| Authorized Official Name | DR. JAGDEEP S HUNDAL (OWNER) |
| Authorized Official Telephone | 3022669166 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | C10008440 | DE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DE | 1467639864 | 05 |
| Other Name | Type Code |
|---|---|
| First State ENT Association | Former Legal Business Name - Organization |
| Street Address |
774 CHRISTIANA ROAD NEUROSCIENCE BUILDING STE B4 |
| City | NEWARK |
| State | DE |
| Zip Code | 19713-4236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932131265 | John Robert Pollard | Psychiatry & Neurology | 774 Christiana Road, Suite 201, Newark, DE 19713-4221 | 2006-07-07 |
| 1477029353 | Justin Fleegle | Physician Assistant | 774 Christiana Road, Suite 202, Newark, DE 19713 | 2018-10-18 |
| 1720326242 | Yadira Velazquez-rodriguez | Psychiatry & Neurology | 774 Christiana Road, Suite 201, Newark, DE 19713 | 2013-01-17 |
| 1255622676 | Justin Paul Martello | Psychiatry & Neurology | 774 Christiana Road, Suite 201, Newark, DE 19713-4221 | 2011-04-20 |
| 1174783237 | Jason M Silversteen | Psychiatry & Neurology | 774 Christiana Road, Suite 201, Newark, DE 19713-0000 | 2008-06-12 |
| 1407014095 | Alison L Potter | Psychiatry & Neurology | 774 Christiana Road, Suite 201, Newark, DE 19713-4221 | 2008-05-30 |
| 1831368141 | Kyo A Kim M.d. P.a. | Plastic Surgery | 774 Christiana Road, Suite 101, Newark, DE 19713 | 2008-02-21 |
| 1023287331 | Lawrence D Chang M.d., Pa | Plastic Surgery | 774 Christiana Road, Suite 101, Newark, DE 19713 | 2008-02-21 |
| 1902906860 | Teresa M. Kitko | Physician Assistant | 774 Christiana Road, Suite 202, Newark, DE 19713 | 2006-09-22 |
| 1073611968 | Pawan Rastogi | Neurological Surgery | 774 Christiana Road, Suite 202, Newark, DE 19713 | 2006-09-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574490 | Stacie Guyton | Nurse Practitioner | 4501 Ogletown Stanton Road, Newark, DE 19713 | 2020-09-25 |
| 1225674633 | Michael Francis Stant | Specialist/Technologist | Delaware Field House, 617 South College Avenue Rm 111b, Newark, DE 19713 | 2019-11-20 |
| 1528559457 | Sarah Mun | Physician Assistant | 4755 Ogletown Stanton Rd, Newark, DE 19713 | 2018-05-26 |
| 1568983286 | Clarice Wanisku Kariuki | Licensed Practical Nurse | 15 Prestbury Square, Suite 14, Nweark, DE 19713 | 2017-07-03 |
| 1679029870 | Auxilia Akala | Nurse Practitioner | 1082 Churchmans Rd, Newrk, DE 19713 | 2016-08-28 |
| 1003369851 | Yawar Abbas | Psychiatry & Neurology | Rockford Center, 100 Rockford Dr, Newark, DE 19713 | 2016-07-28 |
| 1700245925 | Debra Hutz | Counselor | 25 Omega Dr., Professional Center #j, Newark, DE 19713 | 2016-02-16 |
| 1376918201 | Aquiles Igleisias | Speech-Language Pathologist | 540 South College Avenue, Newark, DE 19713 | 2015-12-03 |
| 1639547359 | Kylee Rose | Social Worker | 901 S. Chapel Street, Newark, DE 19713 | 2015-09-11 |
| 1932503976 | Kathleen Madara | Physical Therapist | 540 S College Ave, Suite 210, University of Delaware, Newark, DE 19713 | 2014-10-20 |
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| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760644280 | Chan Woo Park | Otolaryngology | 90 Bergen Street- Suite 8100, Department of Otolaryngology, Doc Building, Newark, NJ 07103 | 2008-06-26 |
| 1467639864 | Jagdeep Singh Hundal | Otolaryngology | 774 Christiana Rd Ste B4, Newark, DE 19713-4219 | 2008-01-28 |
| 1588745483 | Shaun R Roof | Otolaryngology | 88 Mcmillen Drive, Newark, OH 43055 | 2006-10-18 |
| 1083646442 | Licking Memorial Professional Corporation | Otolaryngology | 88 Mcmillen Dr, Newark, OH 43055-5814 | 2006-07-07 |
| 1932102134 | Joseph I Ramzy | Otolaryngology | 774 Christiana Rd, Suite 107, Newark, DE 19713-4236 | 2005-05-23 |
| 1699225227 | University Physician Associates of New Jersey, Inc | Otolaryngology | 30 Bergen St, Admc 1205, Newark, NJ 07107-3000 | 2016-10-06 |
| 1649618596 | Dylan Francis Roden | Otolaryngology | 90 Bergen St # 8100, Newark, NJ 07103 | 2013-06-12 |
| 1407113921 | Wayne Daniel Hsueh | Otolaryngology | 90 Bergen St Ste 8100, Newark, NJ 07103-2425 | 2012-04-20 |
| 1033405139 | Bradley R Lawson | Otolaryngology | 36 Mcmillen Dr, Newark, OH 43055 | 2011-06-27 |
| 1861783615 | Rachel Kaye | Otolaryngology | 90 Bergen St Ste 8100, Newark, NJ 07103-2425 | 2011-04-27 |
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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.