Ear Nose & Throat Medical and Surgical Group, LLC
NPI 1679835086ActiveOrganization· Nurse Practitioner· New Haven, CT
Nurse Practitioner in New Haven, Connecticut, registered in NPPES in June 2012. The authorized official on file is Agnes Czibulka, MD, Physician Partner.
Overview
| NPI | 1679835086 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 12, 2012 |
| Last updated in NPPES | Jul 16, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 004907 | CT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Nurse Practitioner providers in New Haven
- 1215602115
- 1437378809
- 1396569190
- 1154492015
- 1326702473
- 1124317888
- 1053935163
- 1093566267
- 1013735273
- 1841604907
- 1205780848
- 1710280136