Active NPI
Aviva Klugmann, AUD
- Audiologist
- Pearl River, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 002928-01
- Practice address
- 47 Paul CT
Pearl River, NY 10965-1539 - Phone
- (845) 328-1071
- NPI assigned
- Nov 12, 2018
- Last updated
- Oct 19, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 41YA00101500 | NJ | |
| Audiologist | 231H00000X | 002928-01 | NY | Primary |
Addresses
Primary practice location
47 Paul CT
Pearl River, NY 10965-1539
Mailing address
47 Paul CT
Pearl River, NY 10965-1539
Phone (845) 328-1071
Other practice location 1
20 Prospect Ave Ste 808
Hackensack, NJ 07601-1974
Phone (201) 820-4110
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | drklugmann@azkaudiology.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, NY
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
47 Paul CT
Pearl River, NY 10965-1539
Phone (845) 328-1071
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002928 | NY | MD | Optometrist |
| 002928-01 | NY | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hackensack Audiology and Hearing Aid Associates, LLC | Audiologist | Current | Accepting new patients |
| Hackensack Audiology and Hearing Aid Associates | Audiologist | Past | Accepting new patients |
Locations
20 Prospect Ave
Ste 808
Hackensack, NJ 07601
Phone (201) 203-6145
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Audiologist
- Hackensack, NJ
- NPI 1194973818
-
- Audiologist
- Hackensack, NJ
- NPI 1942755855
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603065600000",
"number": "1023586690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47 PAUL CT",
"city": "PEARL RIVER",
"state": "NY",
"postal_code": "109651539",
"telephone_number": "845-328-1071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47 PAUL CT",
"city": "PEARL RIVER",
"state": "NY",
"postal_code": "109651539",
"telephone_number": "845-328-1071"
}
],
"practiceLocations": [
{
"address_1": "20 Prospect Ave Ste 808",
"address_purpose": "LOCATION",
"city": "Hackensack",
"state": "NJ",
"postal_code": "076011974",
"country_code": "US",
"telephone_number": "201-820-4110",
"fax_number": "201-820-4108",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KLUGMANN",
"first_name": "AVIVA",
"name_prefix": "Dr.",
"credential": "AUD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-11-12",
"last_updated": "2020-10-19",
"certification_date": "2020-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NJ",
"license": "41YA00101500",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NY",
"license": "002928-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "drklugmann@azkaudiology.com",
"affiliation": "N",
"endpointDescription": "email address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "47 Paul Ct",
"city": "Pearl River",
"state": "NY",
"country_code": "US",
"postal_code": "109651539",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Pearl River, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.