Vyvian K Queenan, AUD

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

41YA00109700 Issued in NJ

Practice address

350 Forsgate Dr Ste 103
Monroe Township, NJ 08831-5155

Phone

(609) 831-0779

Fax

(609) 831-0778

NPI assigned

May 19, 2021

Last updated

Oct 26, 2022By the provider in NPPES

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 names 1

• Vyvian Nguyen Former name

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clinical Health Care Associates of New Jersey PCGroup PAC ID 0749180198, 793 clinicians

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Clinical Health Care Associates of New Jersey, P.C.

  • Family Medicine Physician
  • Cherry Hill, NJ
  • NPI 1447260435
  Medicare reassignment Care Compare group NPD
• Clinical Health Care Associates of New Jersey, PC

  • Internal Medicine Physician
  • Cherry Hill, NJ
  • NPI 1134278971
  NPD

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

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1184298549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 FORSGATE DR STE 103",
            "city": "MONROE TOWNSHIP",
            "state": "NJ",
            "postal_code": "088315155",
            "telephone_number": "609-831-0779",
            "fax_number": "609-831-0778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 FORSGATE DR STE 103",
            "city": "MONROE TOWNSHIP",
            "state": "NJ",
            "postal_code": "088315155",
            "telephone_number": "609-831-0779",
            "fax_number": "609-831-0778"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Grand Ave # P2",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "NJ",
            "postal_code": "076314398",
            "country_code": "US",
            "telephone_number": "201-399-2476",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUEENAN",
        "first_name": "VYVIAN",
        "middle_name": "K",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-19",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "002952",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NY",
            "license": "14000062806",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NJ",
            "license": "41YA00109700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VYVIAN",
            "last_name": "NGUYEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Princeton Eye Group PA (The Optical Shoppe)
• Princeton Eye Group,PA
• Princeton Healthcare Affiliated Physicians PC (Princeton Health Medical Associates)
• Pulmonary and Sleep Associates of Mercer-Bucks
• Pulmonary and Sleep Medicine Group LLC
• Camille Joy Rabe, PHARMD
• Kyle Rabe
• David G Rabinowitz, DDS
• Brian Rader, M.S, NCC, LAC
• Russell Rambaud

• Audiologist-Hearing Aid Fitter in Monroe Township, NJ
• Providers in Monroe Township, 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 Oct 26, 2022; 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.