Woodbine Audiologic Associates, LLC

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

AT006311 Issued in PA

Legal business name

WOODBINE AUDIOLOGIC ASSOCIATES, LLC

Doing business as

Flourtown Audiology

Practice address

1811 Bethlehem Pike
Suite 221
Flourtown, PA 19031-1111

Phone

(215) 858-7753

NPI assigned

May 16, 2016

Last updated

May 16, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lisa Mariello-Baiada, AUDNPI 1407281504

Title

Audiologist

Phone

(215) 858-7753

Specialties & licenses 1

Addresses

Other names 1

• Flourtown Audiology Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lisa Marie Mariello-Baiada, AU.D.

  • Audiologist
  • Horsham, PA
  • NPI 1407281504
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1463356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463356800000",
    "number": "1164879664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 BETHLEHEM PIKE",
            "address_2": "SUITE 221",
            "city": "FLOURTOWN",
            "state": "PA",
            "postal_code": "190311111",
            "telephone_number": "215-858-7753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 BETHLEHEM PIKE",
            "address_2": "SUITE 221",
            "city": "FLOURTOWN",
            "state": "PA",
            "postal_code": "190311111",
            "telephone_number": "215-858-7753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODBINE AUDIOLOGIC ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-16",
        "last_updated": "2016-05-16",
        "status": "A",
        "authorized_official_last_name": "MARIELLO-BAIADA",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "AUDIOLOGIST",
        "authorized_official_telephone_number": "215-858-7753",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "PA",
            "license": "AT006311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Flourtown Audiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wendy A Wiese, D.O.
• Britney N. Wilson
• Simon Wise, COTA
• Wissahickon Orthopaedic Specialists P.C.
• Jeremy Wolf, ND
• Lynne Yellenberg
• Celeste Yun-Ming Yeoh
• Brianna Marie Ziegler, LCSW
• Gail Zivin, PH.D.
• Gilbert L Zuckerman, M.D.

• Audiologist-Hearing Aid Fitter in Flourtown, PA
• Providers in Flourtown, PA by specialty
• Audiologist-Hearing Aid Fitter in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; 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.