Individual provider Active NPI

Jamie Pollack Filla, AU.D.

  • Audiologist
  • Boca Raton, FL
National Provider Identifier
1194759191
Registry record updated Oct 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY1 Issued in FL
Practice address
1601 Clint Moore Rd
Suite 215
Boca Raton, FL 33487-2768
Phone
(561) 393-9150
Fax
(561) 939-0169
NPI assigned
Jul 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AY1 FL Primary

Addresses

Primary practice location

1601 Clint Moore Rd
Suite 215
Boca Raton, FL 33487-2768

Mailing address

1601 Clint Moore Rd
Suite 215
Boca Raton, FL 33487-2768
Phone (561) 393-9150

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090402000633 FL Practitioner - Qualified Audiologist 6103973466 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ENT and Allergy Associates of Florida, LLCGroup PAC ID 0042292849, 227 clinicians

Practice addresses (Care Compare)

3100 Coral Hills Dr
Suite 307
Coral Springs, FL 33065-4138
Phone (954) 706-0400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AY1FLMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
ENT and Allergy Associates of Florida, LLC CurrentSince Jan 12, 2016 Accepting new patients

Locations

900 NW 13th St
Ste 206
Boca Raton, FL 33486
Phone (561) 338-3267

1601 Clint Moore Rd
Ste 215
Boca Raton, FL 33487
Phone (561) 391-3333

6421 Congress Ave
Ste 113
Boca Raton, FL 33487
Phone (561) 338-3267

3100 Coral Hills Dr
Ste 307
Coral Springs, FL 33065
Phone (954) 706-0400

201 NW 82nd Ave
Ste 404
Plantation, FL 33324
Phone (954) 368-8519

Organizations & group practices 1

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445990400000",
    "number": "1194759191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 CLINT MOORE RD",
            "address_2": "SUITE 215",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334872768",
            "telephone_number": "561-393-9150",
            "fax_number": "561-939-0169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 CLINT MOORE RD",
            "address_2": "SUITE 215",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334872768",
            "telephone_number": "561-393-9150",
            "fax_number": "561-939-0169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FILLA",
        "first_name": "JAMIE",
        "middle_name": "POLLACK",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2015-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2015; 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.