Active NPI
Renee Nancy Fontanella, MA CCCA
- Audiologist
- Toms River, NJ
National Provider Identifier
1326226952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 41YA00045300
- Practice address
- 3 Plaza Drive
Suite 8
Toms River, NJ 08757-3759 - Phone
- (732) 349-9515
- Fax
- (732) 349-8803
- NPI assigned
- Feb 6, 2008
- Last updated
- Feb 6, 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 | 41YA00045300 | NJ | Primary |
Addresses
Primary practice location
3 Plaza Drive
Suite 8
Toms River, NJ 08757-3759
Mailing address
3 Plaza Drive
Suite 8
Toms River, NJ 08757-3759
Phone (732) 349-9515
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41YA00045300 | NJ | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holiday Opticians Inc | Audiologist | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202256000000",
"number": "1326226952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 PLAZA DRIVE",
"address_2": "SUITE 8",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "087573759",
"telephone_number": "732-349-9515",
"fax_number": "732-349-8803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 PLAZA DRIVE",
"address_2": "SUITE 8",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "087573759",
"telephone_number": "732-349-9515",
"fax_number": "732-349-8803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FONTANELLA",
"first_name": "RENEE",
"middle_name": "NANCY",
"name_prefix": "Mrs.",
"credential": "MA CCCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-06",
"last_updated": "2008-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NJ",
"license": "41YA00045300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Toms River, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.