Tiffany S Leach-Berth, AUD

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

YA730,MG949 Issued in NJ

Practice address

2001 Lincoln Dr W
Suite E
Marlton, NJ 08053-1531

Phone

(856) 596-9670

Fax

(856) 985-6302

NPI assigned

Jul 17, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Tiffany S Leach Former name

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hearing Associates, LLC

  • Assistive Technology Practitioner Audiologist
  • Voorhees, NJ
  • NPI 1700351459
  Medicare reassignment NPD
• Garden State Hearing and Balance Center, Inc

  • Audiologist-Hearing Aid Fitter
  • Toms River, NJ
  • NPI 1639178775
  NPD (past)

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515715200000",
    "number": "1174722375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8800 SE SUNNYSIDE RD STE 300N",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970155703",
            "telephone_number": "281-286-2999",
            "fax_number": "512-607-4893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 LINCOLN DR W",
            "address_2": "SUITE E",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080531531",
            "telephone_number": "856-596-9670",
            "fax_number": "856-985-6302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEACH-BERTH",
        "first_name": "TIFFANY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-17",
        "last_updated": "2018-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NJ",
            "license": "41YA00073000",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "NJ",
            "license": null,
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NJ",
            "license": "YA730,MG949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "115350ZDHS",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "LEACH",
            "middle_name": "S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jada Lawrence-Galloway, LCSW
• Naomi Lawrence, MD
• Kristen Layton
• Dianne Lazer, MA CCCSLP COM
• Thanh Le, PHARMD
• Lead Behavior Services LLC
• Geannine Lebude, MSS
• Gina Leclerc, LCSW
• Andrew Lee, MD
• Michele Elizabeth Lee

• Audiologist-Hearing Aid Fitter in Marlton, NJ
• Providers in Marlton, NJ by specialty
• Audiologist-Hearing Aid Fitter in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.