Active NPI
Jaclyn Marie Tomalo, AU.D.
- Audiologist
- Toms River, NJ
National Provider Identifier
1104105469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 41YA00079800
- Practice address
- 500 Lakehurst Rd
Toms River, NJ 08755-8064 - Phone
- (732) 914-8022
- NPI assigned
- Aug 4, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 41YA00079800 | NJ | Primary |
Addresses
Primary practice location
500 Lakehurst Rd
Toms River, NJ 08755-8064
Mailing address
331 Paradise Point Way
Forked River, NJ 08731-4302
Phone (917) 517-0764
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41YA00079800 | NJ | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388361600000",
"number": "1104105469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "331 PARADISE POINT WAY",
"city": "FORKED RIVER",
"state": "NJ",
"postal_code": "087314302",
"telephone_number": "917-517-0764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 LAKEHURST RD",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "087558064",
"telephone_number": "732-914-8022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOMALO",
"first_name": "JACLYN",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-04",
"last_updated": "2013-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NJ",
"license": "41YA00079800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Toms River, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.