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ATLANTIC ENT GROUP LLC
NPI 1629294079
Otolaryngology - Plastic Surgery within the Head & Neck in Red Bank, NJ

Active since April 17, 2007
370 STATE HIGHWAY 35, SUITE 100, RED BANK, NJ 07701(732) 530-7799(732) 530-9091 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Atlantic Ent Group Llc NPPES

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

ATLANTIC ENT GROUP LLC (NPI 1629294079) is a healthcare organization registered as a plastic surgery within the head & neck in Red Bank, New Jersey and active in the NPI registry since April 2007. The organization lists Anthony Degennaro, President, as its authorized official.

NPPES Registry Identity

NPI1629294079
Entity TypeOrganization
Primary Taxonomy207YX0007X
Legal Business NameATLANTIC ENT GROUP LLC
Location Address370 STATE HIGHWAY 35, SUITE 100Red Bank, NJ 07701
Mailing Address370 State Highway 35, Suite 100Red Bank, NJ 07701 · (732) 530-7799 · Fax (732) 530-9091
Phone(732) 530-7799
Fax(732) 530-9091
Organization SubpartNo
Authorized OfficialAnthony DegennaroPresident · (732) 530-7799
Enumeration DateApril 17, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1629294079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Plastic Surgery within the Head & NeckAllopathic & Osteopathic Physicians
Taxonomy Code207YX0007X
Definition
An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.
370 STATE HIGHWAY 35, Red Bank, NJ 07701
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Atlantic Ent Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Atlantic Ent Group LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Anthony Degennaro, MD FACS
Otolaryngology
NPI 1528137262
370 STATE HIGHWAY 35 SUITE 100
Red Bank, NJ 07701
(732) 530-7799
✔ PECOS1.3 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 Atlantic Ent Group LLC's NPI number?

The NPI number for Atlantic Ent Group LLC is 1629294079. It was assigned to this organization in the NPPES registry on April 17, 2007.

Where is Atlantic Ent Group LLC located?

Atlantic Ent Group LLC is located at 370 State Highway 35 Suite 100, Red Bank, NJ 07701. The listed phone number is (732) 530-7799.

What is Atlantic Ent Group LLC's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Plastic Surgery within the Head & Neck, with taxonomy code 207YX0007X.

Is Atlantic Ent Group LLC enrolled in Medicare?

Yes. Atlantic Ent Group LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Atlantic Ent Group LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Otolaryngology) reassigns their Medicare billing to Atlantic Ent Group LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Atlantic Ent Group 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.