Southern New England Ear, Nose, Throat and Facial Plastic Surgery Grou
NPI 1215164058 · Otolaryngology/Facial Plastic Surgery Physician · New Haven, CT
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southern New England Ear, Nose, Throat and Facial Plastic Surgery Grou is a Otolaryngology/Facial Plastic Surgery Physician organization in New Haven, CT (NPI 1215164058).
Provider details
- NPI number
- 1215164058
- Entity type
- Organization
- Primary specialty
- Otolaryngology/Facial Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Eiizabeth Sullivan, Ceo(203) 777-7500
- License
- 034314 (CT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-06-19
- Last updated
- 2015-11-03
Frequently asked questions
- What is Southern New England Ear, Nose, Throat and Facial Plastic Surgery Grou's NPI number?
- Southern New England Ear, Nose, Throat and Facial Plastic Surgery Grou's National Provider Identifier (NPI) is 1215164058, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern New England Ear, Nose, Throat and Facial Plastic Surgery Grou?
- Southern New England Ear, Nose, Throat and Facial Plastic Surgery Grou is classified in the NPPES registry as Otolaryngology/Facial Plastic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Southern New England Ear, Nose, Throat and Facial Plastic Surgery Grou located?
- Southern New England Ear, Nose, Throat and Facial Plastic Surgery Grou's practice location on file with NPPES is One Long Wharf Drive, New Haven, CT 06511-5593.
- What is Southern New England Ear, Nose, Throat and Facial Plastic Surgery Grou's phone number?
- The practice phone number listed in the NPPES registry for Southern New England Ear, Nose, Throat and Facial Plastic Surgery Grou is (203) 777-7500.
- Does Southern New England Ear, Nose, Throat and Facial Plastic Surgery Grou accept Medicare?
- Southern New England Ear, Nose, Throat and Facial Plastic Surgery Grou is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Southern New England Ear, Nose, Throat and Facial Plastic Surgery Grou?
- The authorized official listed on Southern New England Ear, Nose, Throat and Facial Plastic Surgery Grou's NPPES record is Eiizabeth Sullivan, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern New England Ear, Nose, Throat and Facial Plastic Surgery Grou's NPI active?
- Yes — Southern New England Ear, Nose, Throat and Facial Plastic Surgery Grou's NPI (1215164058) is active in the NPPES registry as of the last update on 2015-11-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.