NPIMap

Organization Active NPI

Audiology & Hearing Centers of Nepa, LLC

  • Durable Medical Equipment & Medical Supplies
  • Scranton, PA
National Provider Identifier
1184776759
Registry record updated Mar 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
AT000012L Issued in PA
Legal business name
AUDIOLOGY & HEARING CENTERS OF NEPA, LLC
Practice address
321 Spruce St
Bank Tower - 7TH Floor
Scranton, PA 18503-1400
Phone
(570) 343-7710
Fax
(570) 343-7734
NPI assigned
Jan 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2015

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

Authorized official

Name
Dr. Denise Prislupski, AU.D.
Title
Audiologist
Phone
(570) 343-7710

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X AT000012L PA Primary
Hearing Aid Equipment 332S00000X AT000012L PA

Addresses

Primary practice location

321 Spruce St
Bank Tower - 7TH Floor
Scranton, PA 18503-1400

Mailing address

321 Spruce St
Bank Tower - 7TH Floor
Scranton, PA 18503-1400
Phone (570) 343-7710

Other identifiers 4

IdentifierTypeStateIssuer
102958262-0001MedicaidPA
1007510830004MedicaidPA
0019075890003MedicaidPA
30132OtherPAGEISINGER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426204800000",
    "number": "1184776759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 SPRUCE ST",
            "address_2": "BANK TOWER - 7TH FLOOR",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185031400",
            "telephone_number": "570-343-7710",
            "fax_number": "570-343-7734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 SPRUCE ST",
            "address_2": "BANK TOWER - 7TH FLOOR",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185031400",
            "telephone_number": "570-343-7710",
            "fax_number": "570-343-7734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUDIOLOGY & HEARING CENTERS OF NEPA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2015-03-13",
        "status": "A",
        "authorized_official_last_name": "PRISLUPSKI",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "AUDIOLOGIST",
        "authorized_official_telephone_number": "570-343-7710",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": "AT000012L",
            "primary": true
        },
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "PA",
            "license": "AT000012L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102958262-0001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007510830004",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019075890003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER",
            "identifier": "30132",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2015; 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.