Active NPI
Innovative Hearing Technologies, LLC
- Audiologist
- Bethlehem, PA
National Provider Identifier
1174656631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AT000421L
- Legal business name
- INNOVATIVE HEARING TECHNOLOGIES, LLC
- Doing business as
- Audiology Services
- Practice address
- 1415 Princeton Dr
Bethlehem, PA 18017-9168 - Phone
- (610) 694-0141
- Fax
- (610) 317-8483
- NPI assigned
- Mar 13, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Autumn Taylor Delfino
- Title
- Director of Operations
- Phone
- (610) 972-3076
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AT000421L | PA | Primary |
Addresses
Primary practice location
1415 Princeton Dr
Bethlehem, PA 18017-9168
Mailing address
111 S Spruce St Ste 102
Nazareth, PA 18064-2155
Phone (610) 694-0141
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7319052 | Other | PA | AETNA |
| 50005059 | Other | PA | CAPITAL BLUE CROSS |
Other names 1
- Audiology Services
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
562 Independence Rd
Ste 327
East Stroudsburg, PA 18301
Phone (610) 694-0141
111 S Spruce St
Ste 102
Nazareth, PA 18064
Phone (610) 694-0141
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Audiologist
- Bethlehem, PA
- NPI 1194858654
-
- Hearing Instrument Specialist
- Nazareth, PA
- NPI 1912483934
-
- Hearing Instrument Specialist
- Nazareth, PA
- NPI 1245727825
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1613347200000",
"number": "1174656631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 S SPRUCE ST STE 102",
"city": "NAZARETH",
"state": "PA",
"postal_code": "180642155",
"telephone_number": "610-694-0141",
"fax_number": "610-759-2181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 PRINCETON DR",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180179168",
"telephone_number": "610-694-0141",
"fax_number": "610-317-8483"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INNOVATIVE HEARING TECHNOLOGIES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-13",
"last_updated": "2021-02-15",
"certification_date": "2021-02-15",
"status": "A",
"authorized_official_last_name": "DELFINO",
"authorized_official_first_name": "AUTUMN",
"authorized_official_middle_name": "TAYLOR",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "610-972-3076"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Audiologist",
"state": "PA",
"license": "AT000421L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7319052",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "50005059",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Audiology Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bethlehem, PA
- Ariana Javaneh Ingstad, O.D.
- Scott Ingstad, PHARMD
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- Inner Resources Counseling Inc
- Innervision Counseling, LLC
- Insight Counseling & Wellness, LLC
- Integral Nuclear Associates LLC
- Integrated Health Solutions PC
- Integrated Home Health Network LLC
- Intentional Counseling & Wellness, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2021; 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.