Individual provider Active NPI

Seraya Ghoneim

  • Hearing Instrument Specialist
  • Sea Girt, NJ
National Provider Identifier
1144674763
Registry record updated May 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
25MG00124100 Issued in NJ
Practice address
700 Brooklyn Boulevard
Sea Girt, NJ 08750
Phone
(732) 359-8112
NPI assigned
Apr 20, 2016
Last updated
May 9, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 25MG00124100 NJ Primary

Addresses

Primary practice location

700 Brooklyn Boulevard
Sea Girt, NJ 08750

Mailing address

700 Brooklyn Blvd
Sea Girt, NJ 08750-1413
Phone (732) 359-8112

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
25MG00124100NJMDHearing Instrument Specialist

NPI Registry JSON

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

{
    "created_epoch": "1461110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462752000000",
    "number": "1144674763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 BROOKLYN BLVD",
            "city": "SEA GIRT",
            "state": "NJ",
            "postal_code": "087501413",
            "telephone_number": "732-359-8112",
            "fax_number": "732-359-8114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 BROOKLYN BOULEVARD",
            "city": "SEA GIRT",
            "state": "NJ",
            "postal_code": "08750",
            "telephone_number": "732-359-8112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHONEIM",
        "first_name": "SERAYA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-20",
        "last_updated": "2016-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "NJ",
            "license": "25MG00124100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sea Girt, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2016; 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.