NPIMap

Organization Active NPI

Salus University Hearing Vision Balance Clinic

  • Audiologist
  • Elkins Park, PA
National Provider Identifier
1154785293
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AT005895 Issued in PA
Legal business name
SALUS UNIVERSITY HEARING VISION BALANCE CLINIC
Practice address
8360 Old York Rd
Elkins Park, PA 19027-1576
Phone
(215) 276-6000
Fax
(215) 276-1329
NPI assigned
Apr 5, 2016
Organization subpart
Yes
Parent organization
SALUS UNIVERSITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Authorized official

Name
John Gaal
Title
Vice President of Clinical Operatio
Phone
(215) 276-6000

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X OEG0000989 PA
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X PT006133L PA
AudiologistGroup: 193200000X MULTI-SPECIALTY GROUP 231H00000X AT005895 PA Primary
AudiologistGroup: 193200000X MULTI-SPECIALTY GROUP 231H00000X AT006180 PA

Addresses

Primary practice location

8360 Old York Rd
Elkins Park, PA 19027-1576

Mailing address

8360 Old York Rd
Elkins Park, PA 19027-1576

Other identifiers 1

IdentifierTypeStateIssuer
026958OtherPAMEDICARE GROUP NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040302000032 PA Part B Supplier - Clinic/Group Practice 9133031883 Receives reassigned benefits from 63 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Elkins Park, PA; Philadelphia, PA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Eye Inst Optometric Gro4 organizations share this tax ID, including this one
Part of
Eye Inst Optometric Gro

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3300 Henry Ave
Ste 104
Philadelphia, PA 19129
Phone (215) 276-1329

Practitioners & affiliated clinicians

Practitioners 68

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 68

NPI Registry JSON

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

{
    "created_epoch": "1459814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728432000000",
    "number": "1154785293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8360 OLD YORK RD",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190271576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8360 OLD YORK RD",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190271576",
            "telephone_number": "215-276-6000",
            "fax_number": "215-276-1329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALUS UNIVERSITY HEARING VISION BALANCE CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SALUS UNIVERSITY",
        "enumeration_date": "2016-04-05",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A",
        "authorized_official_last_name": "GAAL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "VICE PRESIDENT OF CLINICAL OPERATIO",
        "authorized_official_telephone_number": "215-276-6000"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG0000989",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT006133L",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": "PA",
            "license": "AT005895",
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": "PA",
            "license": "AT006180",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "026958",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkins Park, PA

Sources for this page

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