EVERGREEN EAR, NOSE & THROAT SURGERY P.C.
NPI 1982622817
Otolaryngology in Long Beach, NY

Active since July 18, 2006
728 E PARK AVE, LONG BEACH, NY 11561(516) 431-0700(516) 706-0622 Get Directions Write a Review

NPPES record last updated: April 13, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Evergreen Ear, Nose & Throat Surgery P.c. NPPES

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

EVERGREEN EAR, NOSE & THROAT SURGERY P.C. (NPI 1982622817) is a healthcare organization registered as an otolaryngology in Long Beach, New York and active in the NPI registry since July 2006. The organization lists Shefali Shah, President, as its authorized official.

NPPES Registry Identity

NPI1982622817
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameEVERGREEN EAR, NOSE & THROAT SURGERY P.C.
Location Address728 E PARK AVELong Beach, NY 11561-2605
Mailing Address34 Farm LnGreat Neck, NY 11020-1314 · (516) 581-5099 · Fax (516) 706-0622
Fax(516) 706-0622
Organization SubpartNo
Authorized OfficialShefali ShahPresident · (516) 431-0700
Enumeration DateJuly 18, 2006
Last NPPES UpdateApril 13, 2016
NPI 1982622817 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.
728 E PARK AVE, Long Beach, NY 11561

Other Identifiers 1

Medicare UPINWEP511NY

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

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

Otolaryngology
728 E PARK AVE
LONG BEACH, NY 11561

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 Evergreen Ear, Nose & Throat Surgery P.C.'s NPI number?

The NPI number for Evergreen Ear, Nose & Throat Surgery P.C. is 1982622817. It was assigned to this organization in the NPPES registry on July 18, 2006.

Where is Evergreen Ear, Nose & Throat Surgery P.C. located?

Evergreen Ear, Nose & Throat Surgery P.C. is located at 728 E Park Ave, Long Beach, NY 11561. The listed phone number is (516) 431-0700.

What is Evergreen Ear, Nose & Throat Surgery P.C.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Evergreen Ear, Nose & Throat Surgery P.C. was last updated on April 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.