Catherine Blake, AUD

Primary specialty

AudiologistTaxonomy code 231H00000X

License

41YA00097500 Issued in NJ

Practice address

216 Engle St Ste 101
Englewood, NJ 07631-2428

Phone

(201) 816-9800

Fax

(201) 567-1569

NPI assigned

Oct 22, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Englewood Ear Nose and Throat PCGroup PAC ID 6002900701, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Englewood Ear Nose & Throat PC

  • Otolaryngology/Facial Plastic Surgery Physician
  • Englewood, NJ
  • NPI 1922208875
  Medicare reassignment Care Compare group NPD
• Anthony F. Jahn,M.D.,PA

  • Otology & Neurotology Physician
  • Roseland, NJ
  • NPI 1134367501
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1540166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1306312947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 ENGLE ST STE 101",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312428",
            "telephone_number": "201-816-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 ENGLE ST STE 101",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312428",
            "telephone_number": "201-816-9800",
            "fax_number": "201-567-1569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKE",
        "first_name": "CATHERINE",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-22",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NJ",
            "license": "41YA00097500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Elizabeth Bier, M.D.
• Karin Bierling-Slowey, CRNA
• Bimc Faculty Practice
• Constantine George Binas, M.D.
• Aliza Black
• Traci Blake, PA
• David K. Blood, MD
• Andrew James Bloom
• Blue Dot Psychotherapy Licensed Mental Health Counseling PLLC
• Michelle K Blumenstyk, OTR, CHT

• Audiologist in Englewood, NJ
• Providers in Englewood, NJ by specialty
• Audiologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; 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.