NJ REGIONAL EAR NOSE & THROAT CENTER LLC
NPI 1063591022
Otolaryngology in Manahawkin, NJ

Active since November 02, 2006
1145 BEACON AVENUE, MANAHAWKIN, NJ 08050(609) 597-7110(609) 597-9113 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Nj Regional Ear Nose & Throat Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NJ REGIONAL EAR NOSE & THROAT CENTER LLC (NPI 1063591022) is a healthcare organization registered as an otolaryngology in Manahawkin, New Jersey and active in the NPI registry since November 2006. The organization lists Edward I Engle, Practice Owner, as its authorized official.

NPPES Registry Identity

NPI1063591022
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameNJ REGIONAL EAR NOSE & THROAT CENTER LLC
Location Address1145 BEACON AVENUEManahawkin, NJ 08050-2626
Mailing Address1145 Beacon AvenueManahawkin, NJ 08050-2626 · (609) 597-7110 · Fax (609) 597-9113
Fax(609) 597-9113
Organization SubpartNo
Authorized OfficialEdward I EnglePractice Owner · (609) 597-7110
Enumeration DateNovember 2, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1063591022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Definition
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.
1145 BEACON AVENUE, Manahawkin, NJ 08050

Other Identifiers 4

Other2411865000NJ · Amerihealth
Other103892Local 825
Other8222873Ghi
Medicaid0081299NJ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nj Regional Ear Nose & Throat Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew JerseyEnrollment IDO20050509000130Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Nj Regional Ear Nose & Throat Center LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

Otolaryngology
NPI 1417021627
1145 BEACON AVENUE
Manahawkin, NJ 08050
(609) 597-7110
✔ PECOS✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1174982425
300 W WATER ST
Toms River, NJ 08753
(732) 703-7988
✔ Accepts Medicare17 mi
Nurse Practitioner
NPI 1548400195
1886 CHARLTON CIR
Toms River, NJ 08755
(732) 914-1754
✔ PECOS20 mi
Qualified Audiologist
NPI 1558354555
4691 ROUTE 9 N
Howell, NJ 07731
(732) 942-7220
✔ Accepts Medicare30 mi
Qualified Audiologist
NPI 1639256142
1401 ROUTE 70 E STE 27 SJ MEDICAL CENTER
Cherry Hill, NJ 08034
(856) 795-5502
✔ Accepts Medicare40 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nj Regional Ear Nose & Throat Center LLC's NPI number?

The NPI number for Nj Regional Ear Nose & Throat Center LLC is 1063591022. It was assigned to this organization in the NPPES registry on November 2, 2006.

Where is Nj Regional Ear Nose & Throat Center LLC located?

Nj Regional Ear Nose & Throat Center LLC is located at 1145 Beacon Avenue, Manahawkin, NJ 08050. The listed phone number is (609) 597-7110.

What is Nj Regional Ear Nose & Throat Center LLC's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Nj Regional Ear Nose & Throat Center LLC enrolled in Medicare?

Yes. Nj Regional Ear Nose & Throat Center LLC is registered in the Medicare PECOS enrollment system.

When is Nj Regional Ear Nose & Throat Center LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New Jersey, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Nj Regional Ear Nose & Throat Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians reassign their Medicare billing to Nj Regional Ear Nose & Throat Center LLC, in Nurse Practitioner, Otolaryngology, Physical Therapist in Private Practice and Qualified Audiologist. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Nj Regional Ear Nose & Throat Center LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.