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PROVIDENCE EAR NOSE & THROAT ASSOCIATES INC
NPI 1366523904
Otolaryngology in Chester, PA

Active since October 18, 2006
2112 PROVIDENCE AVE, CHESTER, PA 19013(610) 874-5366(610) 874-8448 Get Directions Write a Review

NPPES record last updated: April 21, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 21, 2021, Mar 14, 2019 (2 updates tracked since 2019).

About Providence Ear Nose & Throat Associates Inc NPPES

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

PROVIDENCE EAR NOSE & THROAT ASSOCIATES INC (NPI 1366523904) is a healthcare organization registered as an otolaryngology in Chester, Pennsylvania and active in the NPI registry since October 2006. The organization lists John M Feehery, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1366523904
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NamePROVIDENCE EAR NOSE & THROAT ASSOCIATES INC
Location Address2112 PROVIDENCE AVEChester, PA 19013-5507
Mailing Address2112 Providence AveChester, PA 19013-5507 · (610) 874-5366 · Fax (610) 874-8448
Phone(610) 874-5366
Fax(610) 874-8448
Organization SubpartNo
Authorized OfficialJohn M FeeheryAuthorized Official · (610) 874-5366
Enumeration DateOctober 18, 2006
Last NPPES UpdateApril 21, 20212 updates tracked since enumeration
NPPES CertifiedApril 21, 2021
✔ NPI 1366523904 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.
2112 PROVIDENCE AVE, Chester, PA 19013
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Other Identifiers 1

Medicaid000686231PA

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Providence Ear Nose & Throat Associates Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

17

Medicare enrollment records show 17 clinicians reassign Medicare billing to Providence Ear Nose & Throat Associates Inc, which bills Medicare for the services they deliver. Of these, 10 practice at this address and 11 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Qualified Audiologist11
Otolaryngology4
Qualified Speech Language Pathologist2

Clinicians, nearest first (17)

Kenneth Briskin, MD
Otolaryngology
NPI 1770664419
2112 PROVIDENCE AVENUE
Chester, PA 19013
(610) 874-5366
✔ PECOS✔ Accepts MedicareSame address
John Feehery, MD
Otolaryngology
NPI 1396826061
2112 PROVIDENCE AVE
Chester, PA 19013
(610) 874-5366
✔ PECOS✔ Accepts MedicareSame address
Mark Ginsburg, DO
Otolaryngology
NPI 1326280009
2112 PROVIDENCE AVE
Chester, PA 19013
(610) 874-5366
✔ PECOS✔ Accepts MedicareSame address
Madelyn Gubernick, AUD, CCC-A
Qualified Audiologist
NPI 1427605914
2112 PROVIDENCE AVE
Chester, PA 19013
(610) 874-5366
✔ Accepts MedicareSame address
Julie Jimenez, AUD
Qualified Audiologist
NPI 1427732767
2112 PROVIDENCE AVE
Chester, PA 19013
(610) 600-1005
✔ Accepts MedicareSame address
Joan Kipnis, MA
Qualified Audiologist
NPI 1659903417
2112 PROVIDENCE AVE
Chester, PA 19013
(610) 874-5366
Same address
Kerry Laub, AU.D.
Qualified Audiologist
NPI 1467971754
2112 PROVIDENCE AVE
Chester, PA 19013
(610) 600-1005
✔ Accepts MedicareSame address
Joel Perloff, MD
Otolaryngology
NPI 1205917820
2112 PROVIDENCE AVE
Chester, PA 19013
(610) 874-5366
✔ PECOS✔ Accepts MedicareSame address
Jessica Witt, AUD
Qualified Audiologist
NPI 1952086175
2112 PROVIDENCE AVE
Chester, PA 19013
(610) 600-1005
✔ Accepts MedicareSame address
Leah Castrovince, AUD
Qualified Audiologist
NPI 1033741384
2112 PROVIDENCE AVE
Chester, PA 19013
(610) 600-1005
Same address
Sandra Schwartz, SLP
Qualified Speech Language Pathologist
NPI 1215069539
301 WEST CHESTER PIKE SUITE 101
Havertown, PA 19083
(610) 446-6900
✔ Accepts Medicare7.8 mi
Sandra Markowitz, MS, CCC-A
Qualified Audiologist
NPI 1851471239
3400 SPRUCE ST 5 SILVERSTEIN PAVILION/ AUDIOLOGY
Philadelphia, PA 19104
(215) 662-2784
✔ Accepts Medicare11 mi
Sarah Lively, AU.D.
Qualified Audiologist
NPI 1598292989
925 CHESTNUT ST FL 6
Philadelphia, PA 19107
(215) 955-6760
✔ Accepts Medicare12 mi
Cassidy Mcmonigle, AU.D
Qualified Audiologist
NPI 1023675899
925 CHESTNUT ST FL 6
Philadelphia, PA 19107
(215) 955-6760
✔ Accepts Medicare12 mi
Cathleen Schriver, M.S. CCC-SLP
Qualified Speech Language Pathologist
NPI 1376762716
2250 HICKORY RD SUITE 240
Plymouth Meeting, PA 19462
(610) 834-1122
✔ Accepts Medicare18 mi
Julia Rainsford, AU.D
Qualified Audiologist
NPI 1578813747
1245 HIGHLAND AVE SUITE 502
Abington, PA 19001
(215) 886-1482
22 mi
Alexandra Cortese, AUD
Qualified Audiologist
NPI 1265691026
1 COMMERCE BOULEVARD SUITE 201
West Grove, PA 19390
(610) 345-0977
✔ Accepts Medicare28 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 Providence Ear Nose & Throat Associates Inc's NPI number?

The NPI number for Providence Ear Nose & Throat Associates Inc is 1366523904. It was assigned to this organization in the NPPES registry on October 18, 2006.

Where is Providence Ear Nose & Throat Associates Inc located?

Providence Ear Nose & Throat Associates Inc is located at 2112 Providence Ave, Chester, PA 19013. The listed phone number is (610) 874-5366.

What is Providence Ear Nose & Throat Associates Inc's specialty?

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

Is Providence Ear Nose & Throat Associates Inc enrolled in Medicare?

Yes. Providence Ear Nose & Throat Associates Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Providence Ear Nose & Throat Associates Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 17 clinicians in 3 Medicare specialties reassign their Medicare billing to Providence Ear Nose & Throat Associates Inc. 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. The largest specialties are Qualified Audiologist (11), Otolaryngology (4) and Qualified Speech Language Pathologist (2). Of these, 10 practice at this address and 11 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Providence Ear Nose & Throat Associates Inc accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan and Sanford Health Plan list Providence Ear Nose & Throat Associates Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Providence Ear Nose & Throat Associates Inc was last updated on April 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.