Active NPI
Summit Hearing Aid Center LLC
- Audiologist-Hearing Aid Fitter
- Summit, NJ
National Provider Identifier
1386709855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- YA00102
- Legal business name
- SUMMIT HEARING AID CENTER LLC
- Practice address
- 75 Summit Ave
Summit, NJ 07901-3614 - Phone
- (908) 277-6886
- Fax
- (908) 277-3478
- NPI assigned
- Dec 26, 2006
- Last updated
- May 12, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Leslie E. Herman, AU.D.
- Title
- Member
- Phone
- (908) 277-6886
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | YA00102 | NJ | Primary |
Addresses
Primary practice location
75 Summit Ave
Summit, NJ 07901-3614
Mailing address
75 Summit Ave
Summit, NJ 07901-3614
Phone (908) 277-6886
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0031631 | Medicaid | NJ | |
| US026 | Other | NJ | OXFORD |
| 0040689 | Other | AETNA | |
| F10048 | Other | NJ | HEALTH NET |
| 3177700 | Medicaid | NJ | |
| 81782 | Other | NJ | UNITED HEALTHCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
75 Summit Ave
Summit, NJ 07901
Phone (908) 277-6886
Practitioners & affiliated clinicians
Practitioners 5
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.
-
- Audiologist-Hearing Aid Fitter
- Summit, NJ
- NPI 1407036650
-
- Audiologist
- Summit, NJ
- NPI 1154937266
-
- Audiologist
- Summit, NJ
- NPI 1760257166
-
- Audiologist
- Summit, NJ
- NPI 1568969103
-
- Hearing Instrument Specialist
- Summit, NJ
- NPI 1467705251
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167091200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1210550400000",
"number": "1386709855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 SUMMIT AVE",
"city": "SUMMIT",
"state": "NJ",
"postal_code": "079013614",
"telephone_number": "908-277-6886",
"fax_number": "908-277-3478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 SUMMIT AVE",
"city": "SUMMIT",
"state": "NJ",
"postal_code": "079013614",
"telephone_number": "908-277-6886",
"fax_number": "908-277-3478"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUMMIT HEARING AID CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-26",
"last_updated": "2008-05-12",
"status": "A",
"authorized_official_last_name": "HERMAN",
"authorized_official_first_name": "LESLIE",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "908-277-6886",
"authorized_official_credential": "AU.D."
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "NJ",
"license": "YA00102",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0031631",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "US026",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0040689",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET",
"identifier": "F10048",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3177700",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "81782",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Summit, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; 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.