Individual provider Active NPI

Simone Milyavsky

  • Audiologist
  • East Brunswick, NJ
National Provider Identifier
1073359626
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
41YA00130700 Issued in NJ
Practice address
44 Milltown Rd
East Brunswick, NJ 08816-2356
Phone
(732) 238-1664
Fax
(732) 491-8195
NPI assigned
Jul 3, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 41YA00130700 NJ Primary

Addresses

Primary practice location

44 Milltown Rd
East Brunswick, NJ 08816-2356

Mailing address

44 Milltown Rd
East Brunswick, NJ 08816-2356
Phone (732) 238-1664

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240801002015 NJ Practitioner - Qualified Audiologist 6305383878 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
41YA00130700NJMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology Services Company USA, LLC CurrentSince Jul 15, 2024 Accepting new patients
Audiology Services Company USA, LLC Audiologist CurrentSince Jul 15, 2024 Accepting new patients

Locations

44 Milltown Rd
East Brunswick, NJ 08816
Phone (732) 238-1664

138 Village Center Dr
Unit B4
Freehold, NJ 07728
Phone (732) 683-1140

2501 Cottontail Ln
Somerset, NJ 08873
Phone (732) 529-7120

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1719964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1073359626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 MILLTOWN RD",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088162356",
            "telephone_number": "732-238-1664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 MILLTOWN RD",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088162356",
            "telephone_number": "732-238-1664",
            "fax_number": "732-491-8195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILYAVSKY",
        "first_name": "SIMONE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-03",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NJ",
            "license": "41YA00130700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.