Individual provider Active NPI

John A. Chonka, AUD

  • Audiologist
  • Lighthouse Point, FL
National Provider Identifier
1033378542
Registry record updated Nov 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY547 Issued in FL
Practice address
3170 N Federal Hwy
Suite 204
Lighthouse Point, FL 33064-6700
Phone
(954) 785-0900
Fax
(954) 786-3497
NPI assigned
Jun 9, 2008
Last updated
Nov 16, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AY547 FL Primary

Addresses

Primary practice location

3170 N Federal Hwy
Suite 204
Lighthouse Point, FL 33064-6700

Mailing address

3170 N Federal Hwy
Suite 204
Lighthouse Point, FL 33064-6700
Phone (954) 785-0900

Other identifiers 1

IdentifierTypeStateIssuer
AY547OtherFLSTATE LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090317000169 FL Practitioner - Qualified Audiologist 7517024615 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Two Rivers HearingGroup PAC ID 6002151339, 7 clinicians

Practice addresses (Care Compare)

21 Suntree PL
Suite 100
Melbourne, FL 32940-7600
Phone (321) 254-5300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fyz-Pinson CurrentSince Apr 8, 2024 Accepting new patients
Two Rivers Hearing Audiologist CurrentSince Apr 8, 2024 Accepting new patients
Wing and Wheeler MD PA Past Accepting new patients
Broward Fall Prevention Center Past Accepting new patients
M J Levitats MD PA Past Accepting new patients

Locations

21 Suntree Pl
Ste 100
Melbourne, FL 32940
Phone (321) 254-5300

4780 Dairy Rd
Ste 103
Melbourne, FL 32904
Phone (321) 254-5300

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289865600000",
    "number": "1033378542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3170 N FEDERAL HWY",
            "address_2": "SUITE 204",
            "city": "LIGHTHOUSE POINT",
            "state": "FL",
            "postal_code": "330646700",
            "telephone_number": "954-785-0900",
            "fax_number": "954-786-3497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3170 N FEDERAL HWY",
            "address_2": "SUITE 204",
            "city": "LIGHTHOUSE POINT",
            "state": "FL",
            "postal_code": "330646700",
            "telephone_number": "954-785-0900",
            "fax_number": "954-786-3497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHONKA",
        "first_name": "JOHN",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-09",
        "last_updated": "2010-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "AY547",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lighthouse Point, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2010; 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.

Verify at the official NPI Registry.