WAKEMED ENT HEAD & NECK SURGERY
NPI 1417340290
Durable Medical Equipment & Medical Supplies in Raleigh, NC

Active since March 18, 2015
3024 NEW BERN AVE, RALEIGH, NC 27610(919) 350-7856(919) 350-7687 Get Directions Write a Review

NPPES record last updated: December 31, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Wakemed Ent Head & Neck Surgery NPPES

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

WAKEMED ENT HEAD & NECK SURGERY (NPI 1417340290) is a healthcare organization registered as a durable medical equipment & medical supplies in Raleigh, North Carolina and active in the NPI registry since March 2015. The organization lists Maria Jayoussi, Executive Director Finance, as its authorized official.

NPPES Registry Identity

NPI1417340290
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameWAKE SPECIALTY PHYSICIANS LLC
Location Address3024 NEW BERN AVERaleigh, NC 27610-1247
Mailing AddressPo Box 602195Charlotte, NC 28260-2195 · (919) 350-0552 · Fax (919) 350-7687
Fax(919) 350-7687
Organization SubpartNo
Authorized OfficialMaria JayoussiExecutive Director Finance · (919) 350-6089
Enumeration DateMarch 18, 2015
Last NPPES UpdateDecember 31, 2015
NPI 1417340290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

3024 NEW BERN AVE, Raleigh, NC 27610

Other Names 1

Doing Business AsWakemed Ent Head & Neck Surgery

Other Identifiers 3

Medicaid1942440375NC
Other7108950003NC · Dme Ptan
Medicare PIN2347332NC

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Pediatrics)
3024 NEW BERN AVE
RALEIGH, NC 27610
Pediatrics (Pediatric Critical Care Medicine)
3024 NEW BERN AVE
RALEIGH, NC 27610
Pediatrics (Pediatric Critical Care Medicine)
3024 NEW BERN AVE, SUITE 307 - PEDIATRICS
RALEIGH, NC 27610
Internal Medicine (Critical Care Medicine)
3024 NEW BERN AVE
RALEIGH, NC 27610
Physician Assistant
3024 NEW BERN AVE
RALEIGH, NC 27610
Physician Assistant (Surgical)
3024 NEW BERN AVE
RALEIGH, NC 27610
Obstetrics & Gynecology
3024 NEW BERN AVE
RALEIGH, NC 27610
Nurse Practitioner
3024 NEW BERN AVE, SUITE 304
RALEIGH, NC 27610

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 Wake Specialty Physicians LLC's NPI number?

The NPI number for Wake Specialty Physicians LLC is 1417340290. It was assigned to this organization in the NPPES registry on March 18, 2015. The provider is doing business as Wakemed Ent Head & Neck Surgery.

Where is Wake Specialty Physicians LLC located?

Wake Specialty Physicians LLC is located at 3024 New Bern Ave, Raleigh, NC 27610. The listed phone number is (919) 350-7856.

What is Wake Specialty Physicians LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Wake Specialty Physicians LLC was last updated on December 31, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.