LEDEREICH FAMILY EAR, NOSE AND THROAT
NPI 1396882239
Otolaryngology in Clifton, NJ

Active since January 31, 2007
1033 CLIFTON AVE, SUITE 204, CLIFTON, NJ 07013(973) 470-8266 Get Directions Write a Review

NPPES record last updated: July 25, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ledereich Family Ear, Nose And Throat NPPES

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

LEDEREICH FAMILY EAR, NOSE AND THROAT (NPI 1396882239) is a healthcare organization registered as an otolaryngology in Clifton, New Jersey and active in the NPI registry since January 2007. The organization lists Chani Ledereich, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1396882239
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameLEDEREICH FAMILY EAR, NOSE AND THROAT
Location Address1033 CLIFTON AVE, SUITE 204Clifton, NJ 07013-3517
Mailing AddressPo Box 4301Clifton, NJ 07012-8301 · (973) 470-8266
Organization SubpartNo
Authorized OfficialChani LedereichOffice Manager · (973) 470-8266
Enumeration DateJanuary 31, 2007
Last NPPES UpdateJuly 25, 2012
✔ NPI 1396882239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in NJ · MA062691
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.
1033 CLIFTON AVE, Clifton, NJ 07013

Other Identifiers 3

Medicare ID-Type Unspecified086843NJ
Medicaid6603807NJ
Medicare UPINF70841NJ

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)

Ledereich Family Ear, Nose And Throat is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

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 IDO20050104000233Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Ledereich Family Ear, Nose And Throat, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Otolaryngology
NPI 1881697373
1033 CLIFTON AVENUE SUITES 204 AND 206
Clifton, NJ 07013
(973) 470-8266
✔ PECOS✔ Accepts MedicareSame address
Qualified Audiologist
NPI 1366918849
1033 CLIFTON AVE STE 204
Clifton, NJ 07013
✔ Accepts MedicareSame address

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 Ledereich Family Ear, Nose And Throat's NPI number?

The NPI number for Ledereich Family Ear, Nose And Throat is 1396882239. It was assigned to this organization in the NPPES registry on January 31, 2007.

Where is Ledereich Family Ear, Nose And Throat located?

Ledereich Family Ear, Nose And Throat is located at 1033 Clifton Ave Suite 204, Clifton, NJ 07013. The listed phone number is (973) 470-8266.

What is Ledereich Family Ear, Nose And Throat's specialty?

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

Is Ledereich Family Ear, Nose And Throat enrolled in Medicare?

Yes. Ledereich Family Ear, Nose And Throat is registered in the Medicare PECOS enrollment system.

When is Ledereich Family Ear, Nose And Throat'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 January 31, 2027. 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 Ledereich Family Ear, Nose And Throat?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Ledereich Family Ear, Nose And Throat, in Otolaryngology 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, 2 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 Ledereich Family Ear, Nose And Throat was last updated on July 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.