Organization Active NPI

Mature Audience, Inc..

  • Customized Equipment (DME)
  • Atlantic City, NJ
National Provider Identifier
1174279194
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
MATURE AUDIENCE, INC..
Doing business as
iGNIUS Global
Practice address
21 North Albany Ave. Unit 1
Floor 1
Atlantic City, NJ 08401
Phone
(862) 271-9417
Fax
(609) 328-9447
NPI assigned
Feb 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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

Authorized official

Name
Mr. Michael Anthony Paolercio I, CPO
Title
Ceo Owner Creator Founder Pcdoo
Phone
(327) 139-5437

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Customized Equipment (DME) 332BC3200X Primary
Prosthetic/Orthotic Supplier 335E00000X

Addresses

Primary practice location

21 North Albany Ave. Unit 1
Floor 1
Atlantic City, NJ 08401

Mailing address

21 North Albany Avenue Unit 1
Floor 1
Atlantic City, NJ 08401
Phone (862) 271-9417

Other names 1

  • iGNIUS Global Doing business as

National Provider Directory

National Provider Directory

Locations

21 N Albany Ave
#1
Atlantic City, NJ 08401
Phone (862) 271-9417

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1646006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719964800000",
    "number": "1174279194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 NORTH ALBANY AVENUE UNIT 1",
            "address_2": "FLOOR 1",
            "city": "ATLANTIC CITY",
            "state": "NJ",
            "postal_code": "08401",
            "telephone_number": "862-271-9417",
            "fax_number": "609-271-9447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 NORTH ALBANY AVE. UNIT 1",
            "address_2": "FLOOR 1",
            "city": "ATLANTIC CITY",
            "state": "NJ",
            "postal_code": "08401",
            "telephone_number": "862-271-9417",
            "fax_number": "609-328-9447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATURE AUDIENCE, INC..",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-28",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A",
        "authorized_official_last_name": "PAOLERCIO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "CEO OWNER CREATOR FOUNDER PCDOO",
        "authorized_official_telephone_number": "327-139-5437",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "iGNIUS Global",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "iGNIUS Global",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atlantic City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; 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.