Individual provider Active NPI

Elise Lerario, AU.D.

  • Audiologist
  • Allentown, PA
National Provider Identifier
1336794627
Registry record updated Oct 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AT006649 Issued in PA
Practice address
1210 S Cedar Crest Blvd
Allentown, PA 18103-6229
Phone
(610) 402-7999
Fax
(610) 402-7995
NPI assigned
Aug 5, 2019
Last updated
Oct 1, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AT006649 PA Primary

Addresses

Primary practice location

1210 S Cedar Crest Blvd
Allentown, PA 18103-6229

Mailing address

2100 Mack Blvd # 4TH
Allentown, PA 18103-5622
Phone (484) 884-0551

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201006002692 PA Practitioner - Qualified Audiologist 5799104071 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group CurrentSince Sep 10, 2020 Accepting new patients
Lehigh Valley Physician Group CurrentSince Sep 10, 2020 Accepting new patients
Lehigh Valley Physician Group Current Accepting new patients

Locations

1210 S Cedar Crest Blvd
Allentown, PA 18103
Phone (610) 402-1150

1210 S Cedar Crest Blvd
Ste 110
Allentown, PA 18103
Phone (610) 402-7999

2100 Mack Blvd
Fl 4
Allentown, PA 18103

Organizations & group practices 4

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": "1564963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601510400000",
    "number": "1336794627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 MACK BLVD # 4TH",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181035622",
            "telephone_number": "484-884-0551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 S CEDAR CREST BLVD",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036229",
            "telephone_number": "610-402-7999",
            "fax_number": "610-402-7995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LERARIO",
        "first_name": "ELISE",
        "credential": "AU.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-05",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "PA",
            "license": "AT006649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.