Active NPI
Ronald Charles Pearlman, PH.D., CCC-A, DABNM
- Audiologist
- Laurel, MD
National Provider Identifier
1336210871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 00172
- Practice address
- 13102 Old Field Terr
Laurel, MD 20707 - Phone
- (240) 620-1305
- Fax
- (240) 294-6320
- NPI assigned
- Nov 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 00172 | MD | Primary |
| Audiologist | 231H00000X | 2201000146 | VA | |
| General Acute Care Hospital | 282N00000X | AUD000055 | DC |
Addresses
Primary practice location
13102 Old Field Terr
Laurel, MD 20707
Mailing address
13102 Old Field Terr.
Laurel, MD 20707
Phone (240) 620-1305
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00172 | MD | MD | Music Therapist |
| 2201000146 | VA | MD | Audiologist |
| AUD000055 | DC | MD | General Acute Care Hospital |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400198400000",
"number": "1336210871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13102 OLD FIELD TERR.",
"city": "LAUREL",
"state": "MD",
"postal_code": "20707",
"telephone_number": "240-620-1305",
"fax_number": "240-294-6320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13102 OLD FIELD TERR",
"city": "LAUREL",
"state": "MD",
"postal_code": "20707",
"telephone_number": "240-620-1305",
"fax_number": "240-294-6320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEARLMAN",
"first_name": "RONALD",
"middle_name": "CHARLES",
"name_prefix": "Prof.",
"credential": "PH.D., CCC-A, DABNM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-13",
"last_updated": "2014-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MD",
"license": "00172",
"primary": true
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "VA",
"license": "2201000146",
"primary": false
},
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "DC",
"license": "AUD000055",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laurel, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.