Active NPI
Fredrika Stetson McDonald
- Audiologist
- Roseland, NJ
National Provider Identifier
1285891770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- YA00046000
- Practice address
- 556 Eagle Rock Ave
Roseland, NJ 07068-1503 - Phone
- (073) 226-2262
- NPI assigned
- May 21, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | YA00046000 | NJ | Primary |
| Audiologist-Hearing Aid Fitter | 237600000X | MG00077900 | NJ |
Addresses
Primary practice location
556 Eagle Rock Ave
Roseland, NJ 07068-1503
Mailing address
165 Morris Ave
Mountain Lakes, NJ 07046-1131
Phone (973) 334-3214
Other names 1
- Rika McDonald
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
207 Pompton Ave
Verona, NJ 07044-3018
Phone (973) 571-1933
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| YA00046000 | NJ | MD | Audiologist |
| MG00077900 | NJ | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edmund S. Liu, MD, PA | Current | Accepting new patients | |
| West Essex OB-GYN Associates, P.C. | Past | Accepting new patients | |
| Anthony F. Jahn,M.D.,PA | Past | Accepting new patients | |
| Englewood Ear Nose & Throat PC | Past | Accepting new patients |
Locations
207 Pompton Ave
Verona, NJ 07044
Phone (973) 239-0052
Organizations & group practices 4
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.
-
- Facial Plastic Surgery Physician
- Verona, NJ
- NPI 1053430264
-
- Otology & Neurotology Physician
- Roseland, NJ
- NPI 1134367501
-
- Otolaryngology/Facial Plastic Surgery Physician
- Englewood, NJ
- NPI 1922208875
-
- Specialist
- Livingston, NJ
- NPI 1558435347
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211328000000",
"number": "1285891770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "165 MORRIS AVE",
"city": "MOUNTAIN LAKES",
"state": "NJ",
"postal_code": "070461131",
"telephone_number": "973-334-3214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "556 EAGLE ROCK AVE",
"city": "ROSELAND",
"state": "NJ",
"postal_code": "070681503",
"telephone_number": "073-226-2262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "FREDRIKA",
"middle_name": "STETSON",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-21",
"last_updated": "2008-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NJ",
"license": "YA00046000",
"primary": true
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "NJ",
"license": "MG00077900",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RIKA",
"last_name": "MCDONALD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Roseland, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; 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.