Individual provider Active NPI

Janis Jenkins, AU.D., CCC-A, FAAA

  • Audiologist
  • Princeton, NJ
National Provider Identifier
1235167396
Registry record updated May 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
25MG00077200 Issued in NJ
Practice address
126 Main St
Princeton, NJ 08540-5733
Phone
(609) 520-0093
Fax
(609) 520-0562
NPI assigned
Jun 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 25MG00077200 NJ Primary

Addresses

Primary practice location

126 Main St
Princeton, NJ 08540-5733

Mailing address

158 Orlando Dr
Raritan, NJ 08869-2124
Phone (908) 575-7800

Other names 1

  • Mrs. Janis Y Watkis Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040831000132 NJ Practitioner - Qualified Audiologist 6709851074 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25MG00077200NJMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hearing Health PA, LLC Audiologist CurrentSince Dec 1, 2024 Accepting new patients
Hearusa Inc Audiologist Past Accepting new patients

Locations

205 Omni Dr
Hillsborough, NJ 08844
Phone (908) 575-7800

123 Franklin Corner Rd
Ste 205
Lawrenceville, NJ 08648
Phone (609) 844-9688

35 Waterview Blvd
Ste 305
Parsippany, NJ 07054

Organizations & group practices 2

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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337558400000",
    "number": "1235167396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 ORLANDO DR",
            "city": "RARITAN",
            "state": "NJ",
            "postal_code": "088692124",
            "telephone_number": "908-575-7800",
            "fax_number": "908-575-7619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 MAIN ST",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085405733",
            "telephone_number": "609-520-0093",
            "fax_number": "609-520-0562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "JANIS",
        "name_prefix": "Mrs.",
        "credential": "AU.D., CCC-A, FAAA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2012-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NJ",
            "license": "25MG00077200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANIS",
            "last_name": "WATKIS",
            "middle_name": "Y",
            "prefix": "MRS.",
            "credential": "AU.D.,CCC-A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Princeton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.