Individual provider Active NPI

Thomas R Zalewski, PH.D.

  • Audiologist
  • Bloomsburg, PA
National Provider Identifier
1063628444
Registry record updated Oct 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AT000520L Issued in PA
Practice address
400 E 2ND St
Bloomsburg University
Bloomsburg, PA 17815-1301
Phone
(570) 389-5380
Fax
(570) 389-5022
NPI assigned
May 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AT000520L PA Primary
Audiologist-Hearing Aid Fitter 237600000X AT000520L PA
Hearing Instrument Specialist 237700000X AT000520L PA

Addresses

Primary practice location

400 E 2ND St
Bloomsburg University
Bloomsburg, PA 17815-1301

Mailing address

400 E 2ND St
Bloomsburg University
Bloomsburg, PA 17815-1301
Phone (570) 389-5380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
AT000520LPAMDAudiologist

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191283200000",
    "number": "1063628444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E 2ND ST",
            "address_2": "BLOOMSBURG UNIVERSITY",
            "city": "BLOOMSBURG",
            "state": "PA",
            "postal_code": "178151301",
            "telephone_number": "570-389-5380",
            "fax_number": "570-389-5022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E 2ND ST",
            "address_2": "BLOOMSBURG UNIVERSITY",
            "city": "BLOOMSBURG",
            "state": "PA",
            "postal_code": "178151301",
            "telephone_number": "570-389-5380",
            "fax_number": "570-389-5022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZALEWSKI",
        "first_name": "THOMAS",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-15",
        "last_updated": "2007-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "PA",
            "license": "AT000520L",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "PA",
            "license": "AT000520L",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "PA",
            "license": "AT000520L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.