Organization Active NPI

Innovative Hearing Technologies, LLC

  • Audiologist
  • Bethlehem, PA
National Provider Identifier
1174656631
Registry record updated Feb 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AT000421L Issued in PA
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

Updated by the provider on Feb 15, 2021

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)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
7319052OtherPAAETNA
50005059OtherPACAPITAL BLUE CROSS

Other names 1

  • Audiology Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041122000080 PA Part B Supplier - Clinic/Group Practice 2163487950 Receives reassigned benefits from 1 practitioner
Practice locations: East Stroudsburg, PA; Nazareth, PA; Bethlehem, PA; Allentown, PA

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.