Audiology & Hearing Centers of Nepa, LLC

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AT000012L Issued in PA

Legal business name

AUDIOLOGY & HEARING CENTERS OF NEPA, LLC

Practice address

1339 Main St
Peckville, PA 18452-2055

Phone

(570) 383-0500

Fax

(570) 343-7734

NPI assigned

Feb 6, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Denise Prislupski, AU.D.

Title

Owner

Phone

(570) 383-0500

Specialties & licenses 2

Addresses

Other identifiers 2

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

{
    "created_epoch": "1423180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423180800000",
    "number": "1124419577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1339 MAIN ST",
            "city": "PECKVILLE",
            "state": "PA",
            "postal_code": "184522055",
            "telephone_number": "570-383-0500",
            "fax_number": "570-343-7734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1339 MAIN ST",
            "city": "PECKVILLE",
            "state": "PA",
            "postal_code": "184522055",
            "telephone_number": "570-383-0500",
            "fax_number": "570-343-7734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUDIOLOGY & HEARING CENTERS OF NEPA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-06",
        "last_updated": "2015-02-06",
        "status": "A",
        "authorized_official_last_name": "PRISLUPSKI",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-383-0500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "PA",
            "license": "AT000012L",
            "primary": true
        },
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "PA",
            "license": "AT000012L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007510830004",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER",
            "identifier": "30132",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Audiologist in Peckville, PA
• Providers in Peckville, PA by specialty
• Audiologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2015; 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.