Organization Active NPI

Summit Hearing Aid Center LLC

  • Audiologist-Hearing Aid Fitter
  • Summit, NJ
National Provider Identifier
1386709855
Registry record updated May 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
YA00102 Issued in NJ
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2008

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

Authorized official

Name
Leslie E. Herman, AU.D.NPI 1407036650
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0031631MedicaidNJ
US026OtherNJOXFORD
0040689OtherAETNA
F10048OtherNJHEALTH NET
3177700MedicaidNJ
81782OtherNJUNITED HEALTHCARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080327000459 NJ Part B Supplier - Clinic/Group Practice 4284710401 Receives reassigned benefits from 3 practitioners
Practice locations: Summit, NJ

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.