Individual provider Active NPI

Holly H Reynolds, AUD

  • Audiologist
  • Egg Harbor Township, NJ
National Provider Identifier
1184807703
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
41YA00052000 Issued in NJ
Practice address
2500 English Creek Ave.
BLDG 1200. 2ND Floor
Egg Harbor Township, NJ 08234
Phone
(609) 833-9833
Fax
(609) 407-2364
NPI assigned
Dec 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 41YA00052000 NJ Primary
Audiologist-Hearing Aid Fitter 237600000X 25MG00086700 NJ

Addresses

Primary practice location

2500 English Creek Ave.
BLDG 1200. 2ND Floor
Egg Harbor Township, NJ 08234

Mailing address

2500 English Creek Ave.
BLDG 1200. 2ND Floor
Egg Harbor Township, NJ 08234
Phone (609) 833-9833

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101023000079 NJ Practitioner - Qualified Audiologist 6406049360 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlanticare Physician Group PAGroup PAC ID 8527953660, 506 clinicians

Practice addresses (Care Compare)

2500 English Creek Ave
Building 400 Suite 200
Egg Harbor Township, NJ 08234-5598
Phone (609) 407-2333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanticare Physician Group PA CurrentSince Nov 12, 2017 Accepting new patients
Cooper Surgical Associates, PA CurrentSince Jun 12, 2017 Accepting new patients
Atlanticare Physician Group, PA CurrentSince Nov 12, 2017 Accepting new patients
Cooper Surgical Associates, PA CurrentSince Jun 12, 2017 Accepting new patients
Atlanticare Physician Group Past Accepting new patients
Hearing Associates, LLC PastSince Dec 1, 2018 Accepting new patients

Locations

3 Cooper Plz
Rm 411
Camden, NJ 08103
Phone (856) 342-2270

1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2425

2500 English Creek Ave
Ste 200
Egg Harbor Township, NJ 08234
Phone (609) 677-6000

2500 English Creek Ave
Ste 1200
Egg Harbor Twp, NJ 08234
Phone (609) 704-1980

459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815

900 Centennial Blvd
Ste G
Voorhees, NJ 08043
Phone (856) 325-6565

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1184807703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 ENGLISH CREEK AVE.",
            "address_2": "BLDG 1200. 2ND FLOOR",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "08234",
            "telephone_number": "609-833-9833",
            "fax_number": "609-407-2364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 ENGLISH CREEK AVE.",
            "address_2": "BLDG 1200. 2ND FLOOR",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "08234",
            "telephone_number": "609-833-9833",
            "fax_number": "609-407-2364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "HOLLY",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-06",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NJ",
            "license": "41YA00052000",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NJ",
            "license": "25MG00086700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Egg Harbor Township, NJ

Sources for this page

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