Michael A Tavill, MD
Otolaryngology, Pediatric Otolaryngology in Shrewsbury, New Jersey
1417030792- Practice location
- 1131 Broad Street, Ste 103, Shrewsbury, NJ 07702
- Phone
- 732-389-3388
- Fax
- 732-389-3389
- Last updated
- April 1, 2019
Michael Andrew Tavill is an Otolaryngology, Pediatric Otolaryngology based in Shrewsbury, NJ. Michael Andrew Tavill practices in Shrewsbury, NJ and has the professional credentials of MD. The NPI Number for Michael Andrew Tavill is 1417030792 and holds a License No. 25MA06549000 (NJ). The current practice location address for Michael Andrew Tavill is 1131 Broad Street, Ste 103, Shrewsbury, NJ 07702 and can be reached out via phone at 732-389-3388 and via fax at 732-389-3389.
Provider Profile Details
- NPI Number
- 1417030792
- Provider Name
- Michael Andrew Tavill
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1131 Broad Street, Ste 103, Shrewsbury, NJ 07702
- Phone Number
- 732-389-3388
- Fax Number
- 732-389-3389
- Primary Taxonomy
- Otolaryngology, Pediatric Otolaryngology · 207YP0228X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 23, 2006
- Last Update Date
- April 1, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1131 Broad Street
Ste 103
Shrewsbury, NJ 07702 - City
- Shrewsbury
- State
- New Jersey
- Zip
- 07702
- Phone Number
- 732-389-3388
- Fax Number
- 732-389-3389
Provider Business Mailing Address Details
- Address
- 660 White Plains RD Fl 4
Tarrytown, NY 10591-5139 - City
- Tarrytown
- State
- NY
- Zip
- 10591-5139
- Phone Number
- 914-984-2546
License Information
- License Number (1)
- 25MA06549000
- License State (1)
- NJ
- Taxonomy (1)
- Otolaryngology, Sleep Medicine · 207YS0012X
- License Number (2)
- 25MA06549000
- License State (2)
- NJ
- Taxonomy (2)
- Otolaryngology, Pediatric Otolaryngology · 207YP0228X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Michael A Tavill, MD?
The NPI number of Michael A Tavill, MD is 1417030792. It was assigned on October 23, 2006 and is currently active in the NPPES registry.
What is the specialty of Michael A Tavill, MD?
Michael A Tavill, MD is registered under the primary taxonomy Otolaryngology, Pediatric Otolaryngology (code 207YP0228X), licensed in NJ under license number 25MA06549000.
Where does Michael A Tavill, MD practice?
The practice location is 1131 Broad Street, Ste 103, Shrewsbury, NJ 07702. The office can be reached at 732-389-3388 (phone) or 732-389-3389 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1417030792 directly on the NPPES registry website.