Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Wake Specialty Physicians, LLC

Organization Otolaryngology Physician · NPI 1063823003

Wake Specialty Physicians, LLC is an Otolaryngology Physician in Raleigh, North Carolina. Licensed in North Carolina. Registered with an NPI since 2014.

Licensed in
NC
In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3024 New Bern Ave
Raleigh, NC 27610-1247
Phone: (919) 350-7856
Fax: (919) 350-1635
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X (NC)

Record details

NPI number1063823003
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Maria Jayoussi — Executive Director Finance · (919) 360-6089
Other names Wakemed Ent Head & Neck Surgery
NPI enumeratedMay 13, 2014
Last updated in NPPESSeptember 12, 2016
Mailing addressPo Box 602195, Charlotte, NC 28260-2195

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