EAR NOSE & THROAT MEDICAL AND SURGICAL GROUP, LLC
NPI 1679835086
Nurse Practitioner in New Haven, CT

Q: What is Ear Nose & Throat Medical And Surgical Group, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since June 12, 2012

46 PRINCE ST STE 601, NEW HAVEN, CT 06519(203) 752-1726(203) 752-1838 Get Directions Write a Review

NPPES record last updated: July 16, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ear Nose & Throat Medical And Surgical Group, Llc NPPES

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

EAR NOSE & THROAT MEDICAL AND SURGICAL GROUP, LLC (NPI 1679835086) is a healthcare organization registered as a nurse practitioner in New Haven, Connecticut and active in the NPI registry since June 2012. The organization lists Agnes Czibulka, Physician Partner, as its authorized official.

NPPES Registry Identity

NPI1679835086

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameEAR NOSE & THROAT MEDICAL AND SURGICAL GROUP, LLC

Location Address46 PRINCE ST STE 601New Haven, CT 06519-1634

Mailing Address31 BroadwayNorth Haven, CT 06473-2304 · (203) 234-1324 · Fax (203) 239-3047

Phone(203) 752-1726

Fax(203) 752-1838

Organization SubpartNo

Authorized OfficialAgnes CzibulkaPhysician Partner · (203) 234-1324

Enumeration DateJune 12, 2012

Last NPPES UpdateJuly 16, 2012

✔ NPI 1679835086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in CT · 004907

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

46 PRINCE ST STE 601, New Haven, CT 06519

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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

Other Providers at the Same Location NPPES 4

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

DR. CARLY JOHNSON AU.D.

Audiologist

46 PRINCE ST STE 601
NEW HAVEN, CT 06519

South Central Connecticut Planning Region (203) 752-1726

MARISA BECKER AUD

Audiologist

46 PRINCE ST STE 601
NEW HAVEN, CT 06519

South Central Connecticut Planning Region (203) 752-1726

KELLY K GRECO APRN

Nurse Practitioner

46 PRINCE ST STE 601
NEW HAVEN, CT 06519

South Central Connecticut Planning Region (203) 752-1726

ELIZABETH MARIA AYOTTE AU.D.

Audiologist

46 PRINCE ST STE 601
NEW HAVEN, CT 06519

South Central Connecticut Planning Region (203) 752-1726

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 Ear Nose & Throat Medical And Surgical Group, LLC's NPI number?

The NPI number for Ear Nose & Throat Medical And Surgical Group, LLC is 1679835086. It was assigned to this organization in the NPPES registry on June 12, 2012.

Where is Ear Nose & Throat Medical And Surgical Group, LLC located?

Ear Nose & Throat Medical And Surgical Group, LLC is located at 46 Prince St Ste 601, New Haven, CT 06519. The listed phone number is (203) 752-1726.

What is Ear Nose & Throat Medical And Surgical Group, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Ear Nose & Throat Medical And Surgical Group, LLC was last updated on July 16, 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.