Active NPI
Phyllis H Zlotnick, MA, CCC
- Audiologist
- Hackensack, NJ
National Provider Identifier
1306017074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 41YA00055600
- Practice address
- 385 Prospect Ave
ENT
Hackensack, NJ 07601-2570 - Phone
- (201) 883-1062
- NPI assigned
- Mar 20, 2008
- 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 | 41YA00055600 | NJ | Primary |
Addresses
Primary practice location
385 Prospect Ave
ENT
Hackensack, NJ 07601-2570
Mailing address
385 Prospect Ave
ENT
Hackensack, NJ 07601-2570
Phone (201) 883-1062
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)
- Enrolled
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231200000000",
"number": "1306017074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "385 PROSPECT AVE",
"address_2": "ENT",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076012570",
"telephone_number": "201-883-1062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "385 PROSPECT AVE",
"address_2": "ENT",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076012570",
"telephone_number": "201-883-1062"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZLOTNICK",
"first_name": "PHYLLIS",
"middle_name": "H",
"name_prefix": "Mrs.",
"credential": "MA, CCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-20",
"last_updated": "2009-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NJ",
"license": "41YA00055600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hackensack, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.