Individual provider Active NPI

Maryam Esmaeli-Salari, SCD, CCC-A

  • Audiologist
  • Germantown, MD
National Provider Identifier
1386834265
Registry record updated Oct 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
41YA00069100 Issued in NJ
Practice address
19509 Doctors Dr
Germantown, MD 20874-5247
Phone
(301) 337-6920
Fax
(888) 836-8895
NPI assigned
Jul 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 41YA00069100 NJ Primary

Addresses

Primary practice location

19509 Doctors Dr
Germantown, MD 20874-5247

Mailing address

19509 Doctors Dr
Germantown, MD 20874-5247
Phone (301) 337-6920

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130710000558 DC Practitioner - Qualified Audiologist 7416015201 Reassigns benefits to 1 organization
I20200723002203 NJ Practitioner - Qualified Audiologist 7416015201 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

19509 Doctors Dr
Germantown, MD 20874-5247
Phone (201) 247-6608

303 Court House S Dennis Rd
Cape May Court House, NJ 08210

303 S Dennis Rd
Cape May Court House, NJ 08210
Phone (301) 337-6920

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
02179MDMDClinical Child & Adolescent Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology Center of NJ Audiologist Current Accepting new patients

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": "1185494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381968000000",
    "number": "1386834265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19509 DOCTORS DR",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208745247",
            "telephone_number": "301-337-6920",
            "fax_number": "888-836-8895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19509 DOCTORS DR",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208745247",
            "telephone_number": "301-337-6920",
            "fax_number": "888-836-8895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESMAELI-SALARI",
        "first_name": "MARYAM",
        "credential": "SCD, CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-27",
        "last_updated": "2013-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NJ",
            "license": "41YA00069100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2013; 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.