Ishita Raheja, AU.D., CCC-A
Individual provider Active NPI Audiologist · Dunellen, NJ
NPI 1326595448 · NPPES record last updated Sep 7, 2016
Key facts
- NPI
- 1326595448
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Audiologist 231H00000X
- License
- 41YA00094500 (NJ)
- Practice address
- 376 North Ave
Dunellen, NJ 08812-1296 - Phone
- (732) 424-0445
- NPI assigned
- Sep 7, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41YA00094500 | NJ | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Audiology Services Company USA, LLC | Past | Accepting new patients | |
| Audiology Services Company USA, LLC | Audiologist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 41YA00094500 | NJ | Yes |
Addresses
Primary practice location
376 North Ave
Dunellen, NJ 08812-1296
Mailing address
376 North Ave
Dunellen, NJ 08812-1296
Phone (732) 424-0445
Other providers in Dunellen, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 7, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.