Active NPI
Monica Rachel Penzick-Blitstein, AUD
- Audiologist
- Boca Raton, FL
National Provider Identifier
1285734657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- Practice address
- 19276 Skyridge Cir
Boca Raton, FL 33498-6212 - Phone
- (954) 292-8844
- NPI assigned
- Sep 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | Primary |
Addresses
Primary practice location
19276 Skyridge Cir
Boca Raton, FL 33498-6212
Mailing address
19276 Skyridge Cir
Boca Raton, FL 33498-6212
Phone (954) 292-8844
Other practice location 1
3619 Paesanos Pkwy Ste 202
San Antonio, TX 78231-1255
Phone (210) 479-4327
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 085674600 | Medicaid | FL |
Other names 1
- Dr. Monica Blitstein
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians Hearing Network | Past | Accepting new patients |
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.
-
- Audiologist-Hearing Aid Fitter
- San Antonio, TX
- NPI 1548812027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680739200000",
"number": "1285734657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19276 SKYRIDGE CIR",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334986212",
"telephone_number": "954-292-8844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19276 SKYRIDGE CIR",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334986212",
"telephone_number": "954-292-8844"
}
],
"practiceLocations": [
{
"address_1": "3619 Paesanos Pkwy Ste 202",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782311255",
"country_code": "US",
"telephone_number": "210-479-4327",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PENZICK-BLITSTEIN",
"first_name": "MONICA",
"middle_name": "RACHEL",
"name_prefix": "Dr.",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-25",
"last_updated": "2023-04-06",
"certification_date": "2023-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "085674600",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MONICA",
"last_name": "BLITSTEIN",
"prefix": "DR.",
"credential": "AUD",
"code": "2",
"type": "Professional Name"
}
]
}
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 Apr 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.