Individual provider Active NPI

Jessica Januszewski

  • Audiologist
  • Alexandria, VA
National Provider Identifier
1336852599
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Practice address
2616 Sherwood Hall LN Ste 408
Alexandria, VA 22306-3154
Phone
(703) 780-8929
NPI assigned
Jan 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X Primary

Addresses

Primary practice location

2616 Sherwood Hall LN Ste 408
Alexandria, VA 22306-3154

Mailing address

2616 Sherwood Hall LN Ste 408
Alexandria, VA 22306-3154

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230411000942 IL Practitioner - Qualified Audiologist 8820463573
I20240329000216 DC Practitioner - Qualified Audiologist 8820463573 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michael V Massa Med CCC IncGroup PAC ID 6002956216, 5 clinicians

Practice addresses (Care Compare)

6355 Walker LN
Suite 411
Alexandria, VA 22310-3250
Phone (703) 922-4262

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Michael V. Massa, M.Ed., CCC Inc. Audiologist CurrentSince Feb 1, 2024 Accepting new patients
Advanced Hearing and Balance Center, LLC Audiologist PastSince Dec 30, 2022 Accepting new patients

Locations

6355 Walker Ln
Ste 411
Alexandria, VA 22310
Phone (703) 313-0373

2616 Sherwood Hall Ln
Ste 408
Alexandria, VA 22306
Phone (703) 780-5073

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1672704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1336852599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2616 SHERWOOD HALL LN STE 408",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223063154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2616 SHERWOOD HALL LN STE 408",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223063154",
            "telephone_number": "703-780-8929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANUSZEWSKI",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-03",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.