South Jersey Hearing and Tinnitus, LLC

Primary specialty

AudiologistTaxonomy code 231H00000X

Legal business name

SOUTH JERSEY HEARING AND TINNITUS, LLC

Practice address

217 Laurel Heights Dr
Bridgeton, NJ 08302-3635

Phone

(802) 357-3277

NPI assigned

Aug 21, 2024

Last updated

Aug 21, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kelli Shivers-BeswickNPI 1073745527

Title

Owner/Aud

Phone

(802) 357-3277

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kelli Olszewski Shivers-Beswick, AUD

  • Audiologist
  • Bridgeton, NJ
  • NPI 1073745527
  Medicare reassignment NPD Authorized official
• Ilyas Ahmed, MD

  • Internal Medicine Physician
  • Bridgeton, NJ
  • NPI 1497761589
  NPD

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

{
    "created_epoch": "1724198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724198400000",
    "number": "1386477842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 LAUREL HEIGHTS DR",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "083023635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 LAUREL HEIGHTS DR",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "083023635",
            "telephone_number": "802-357-3277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH JERSEY HEARING AND TINNITUS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-21",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A",
        "authorized_official_last_name": "SHIVERS-BESWICK",
        "authorized_official_first_name": "KELLI",
        "authorized_official_title_or_position": "OWNER/AUD",
        "authorized_official_telephone_number": "802-357-3277"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey L Smick, PA
• Elvira K. Smith, MA, CSW
• South Cumberland Medical Associates PC
• South Jersey Drug Treatment Center
• South Jersey Eye Associates PA
• Ashley Soyer
• Liliam Meredith Spieker
• Sprague Dialysis LLC (Bridgeton Dialysis)
• David Lawrence Spuler, LMFT
• Kirk Samuel Stephan, PHARMD

• Audiologist in Bridgeton, NJ
• Providers in Bridgeton, NJ by specialty
• Audiologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; 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.