OrganizationActive
Southern New England Ear, Nose, Throat and Facial Plastic Surgery Grou
NPI 1215164058 · Otolaryngology/Facial Plastic Surgery Physician · New Haven, CT
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
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
One Long Wharf Drive
Suite #302
New Haven, CT 06511-5593
Phone: (203) 777-7500
Fax: (203) 777-8469
Street-level locationGet directions
Mailing address
One Long Wharf Drive
New Haven, CT 06511-5593
Registry dates
- Enumerated
- 2009-06-19
- Last updated
- 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.