Skip to content
NPISignal

Organization

Southern New England Ear, Nose, Throat and Facial Plastic Surgery Grou

NPI Record: ActiveOtolaryngology — Otolaryngology/Facial Plastic Surgery
NPI1215164058
New Haven, Connecticut

Provider's NPPES record last updated: November 3, 2015

Overview

Entity Type
Organization
NPI
1215164058
Primary Specialty
Otolaryngology — Otolaryngology/Facial Plastic Surgery
Practice Location
New Haven, Connecticut
Organization Subpart
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 17, 2026, 11:00 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Otolaryngology

    Otolaryngology/Facial Plastic Surgery

    Allopathic & Osteopathic Physicians

    Primary

    An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.

    Taxonomy code 207YX0905X
  • Specialist

    Other Service Providers

    An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

    Taxonomy code 174400000X

Provider-Reported License Information

Specialist (Connecticut)
034314
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

One Long Wharf Drive

Suite #302

New Haven, Connecticut 06511-5593

Phone: (203) 777-7500

Record Information

Enumeration Date
June 19, 2009
Provider's NPPES Record Last Updated
November 3, 2015
NPISignal NPPES Dataset
August 2026

See Something Wrong?

Incorrect provider information

Everything on this page comes directly from the NPPES data CMS publishes. NPISignal cannot edit a provider's record — only the provider or organization can, directly through NPPES.

Update a record through NPPES

Something wrong with this page?

If NPISignal is displaying this data incorrectly — a formatting error, a broken link, a mismatch with the source file — let us know.

Report a display issue