Active NPI
Michael Joseph Vavrek, AU.D.
- Audiologist
- Branchburg, NJ
National Provider Identifier
1114077658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 41YA00059500
- Practice address
- 3322 US Highway 22 Ste 204
Branchburg, NJ 08876-3392 - Phone
- (908) 722-4022
- Fax
- (908) 722-4022
- NPI assigned
- Jan 10, 2007
- Sex
- Male
- 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 | AT000764L | PA | |
| Audiologist | 231H00000X | 41YA00059500 | NJ | Primary |
Addresses
Primary practice location
3322 US Highway 22 Ste 204
Branchburg, NJ 08876-3392
Mailing address
3322 US Highway 22 Ste 204
Branchburg, NJ 08876-3392
Phone (908) 722-4022
Other practice location 1
269 Prospect St
East Stroudsburg, PA 18301-2943
Phone (570) 424-5531
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 |
|---|---|---|---|
| 41YA00059500 | NJ | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quality Health Care, Incorporated | Past | Accepting new patients | |
| Hearusa Inc | Past | Accepting new patients |
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.
-
- Audiologist-Hearing Aid Fitter
- West Palm Beach, FL
- NPI 1073560231
-
- Home Health Agency
- East Stroudsburg, PA
- NPI 1184875049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1114077658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3322 US HIGHWAY 22 STE 204",
"city": "BRANCHBURG",
"state": "NJ",
"postal_code": "088763392",
"telephone_number": "908-722-4022",
"fax_number": "908-722-4022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3322 US HIGHWAY 22 STE 204",
"city": "BRANCHBURG",
"state": "NJ",
"postal_code": "088763392",
"telephone_number": "908-722-4022",
"fax_number": "908-722-4022"
}
],
"practiceLocations": [
{
"address_1": "269 Prospect St",
"address_purpose": "LOCATION",
"city": "East Stroudsburg",
"state": "PA",
"postal_code": "183012943",
"country_code": "US",
"telephone_number": "570-424-5531",
"fax_number": "570-424-5615",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VAVREK",
"first_name": "MICHAEL",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-10",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "PA",
"license": "AT000764L",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NJ",
"license": "41YA00059500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Branchburg, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.