ENT SURGICAL GROUPPC NPI 1992722870

NPI Information

  • NPI: 1992722870
  • Provider Name: ENT SURGICAL GROUP,PC
  • Classification: Otolaryngology - 207YX0602X
  • Specialization: Otolaryngic Allergy
  • Entity Type: Organization
  • Address: 423 3RD AVE
    SUITE C
    KINGSTON, PA
    ZIP 18704
  • Phone: (570) 714-3434

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NPI Details

ENT SURGICAL GROUP,PC is an otolaryngic allergy otolaryngology in Kingston, PA. The provider is an otolaryngologist who specializes in the diagnosis and treatment of otolaryngic allergies and other allergic diseases. ENT SURGICAL GROUP,PC NPI is 1992722870. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

423 3RD AVE
SUITE C
KINGSTON, PA
ZIP 18704-809
Phone: (570) 714-3434
Fax: (570) 714-6355

The provider's authorized official is Michael Anthony Olenginski .
The authorized official title is President and has the following contact phone number (570) 714-3434.

The enumeration date for this NPI number is 7/16/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207YX0602XOtolaryngologyOtolaryngic AllergyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10006944850002MEDICAIDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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