Provider Demographics
NPI:1346597770
Name:NORTHERN VALLEY ENT & FACIAL PLASTICS, PA
Entity Type:Organization
Organization Name:NORTHERN VALLEY ENT & FACIAL PLASTICS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:P
Authorized Official - Last Name:SCHERL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-666-8787
Mailing Address - Street 1:354 OLD HOOK RD
Mailing Address - Street 2:SUITE 204
Mailing Address - City:WESTWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07675-3246
Mailing Address - Country:US
Mailing Address - Phone:201-666-8787
Mailing Address - Fax:201-358-6686
Practice Address - Street 1:354 OLD HOOK RD
Practice Address - Street 2:SUITE 204
Practice Address - City:WESTWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07675-3246
Practice Address - Country:US
Practice Address - Phone:201-666-8787
Practice Address - Fax:201-358-6686
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-03
Last Update Date:2012-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207YX0007XAllopathic & Osteopathic PhysiciansOtolaryngologyPlastic Surgery within the Head & NeckGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ527150Medicare UPIN
NJ018294BQKMedicare PIN
NJ450192BQKMedicare UPIN
NJC53765Medicare UPIN
NJH99998Medicare UPIN
NJC55043Medicare UPIN