Active NPI
Lauren Reale, AU.D., CCC-A
- Audiologist-Hearing Aid Fitter
- Northfield, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- AT005910
- Practice address
- 450 Tilton Rd Ste 110
Northfield, NJ 08225-1258 - Phone
- (609) 641-1963
- NPI assigned
- Jan 27, 2007
- Last updated
- Feb 7, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 41YA00089600 | NJ | |
| Audiologist-Hearing Aid Fitter | 237600000X | 25MG00138400 | NJ | |
| Audiologist-Hearing Aid Fitter | 237600000X | AT005910 | PA | Primary |
Addresses
Primary practice location
450 Tilton Rd Ste 110
Northfield, NJ 08225-1258
Mailing address
35 Shoreline Rd
Egg Harbor Township, NJ 08234-8111
Phone (570) 855-9921
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41YA00089600 | NJ | MD | Audiologist |
| 25MG00138400 | NJ | MD | Audiologist-Hearing Aid Fitter |
| AT005910 | PA | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Audiology Services Company USA, LLC | Audiologist | Current | Accepting new patients |
| Audiology Services Company USA, LLC | Current | Accepting new patients | |
| Audiology Services Company USA, LLC | Current | Accepting new patients | |
| Audiology Services Company USA, LLC | Past | Accepting new patients |
Locations
6801 Black Horse Pike
Ste 306
Egg Harbor Twp, NJ 08234
Phone (609) 641-1963
138 Village Center Dr
Unit B4
Freehold, NJ 07728
Phone (732) 683-1140
450 Tilton Rd
Ste 110
Northfield, NJ 08225
Phone (609) 641-1963
2501 Cottontail Ln
Somerset, NJ 08873
Phone (732) 529-7120
1294 W Landis Ave
Vineland, NJ 08360
Phone (856) 457-5320
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Hearinglife
- Hearing and Speech Clinic/Center
- Somerset, NJ
- NPI 1033585302
Audiologist
-
- Hearing and Speech Clinic/Center
- Edison, NJ
- NPI 1679085021
-
- Hearing and Speech Clinic/Center
- Melbourne, FL
- NPI 1902318108
-
- Hearing and Speech Clinic/Center
- Egg Harbor Township, NJ
- NPI 1700398146
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707264000000",
"number": "1396891636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 SHORELINE RD",
"city": "EGG HARBOR TOWNSHIP",
"state": "NJ",
"postal_code": "082348111",
"telephone_number": "570-855-9921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 TILTON RD STE 110",
"city": "NORTHFIELD",
"state": "NJ",
"postal_code": "082251258",
"telephone_number": "609-641-1963"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REALE",
"first_name": "LAUREN",
"credential": "AU.D., CCC-A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-27",
"last_updated": "2024-02-07",
"certification_date": "2024-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NJ",
"license": "41YA00089600",
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "NJ",
"license": "25MG00138400",
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "PA",
"license": "AT005910",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northfield, NJ
- Francis W Previti, MD
- Ashley Procopio, PA-C
- Progressive Applied Behavioral Treatment (Connect Plus Therapy)
- Quality Care Pediatrics, LLC.
- Quigley-Simpson Inc (Quigley-Simpson Eye Care Center)
- Regional Nephrology Associates, P.a.
- Jon M Regis, M.D.
- Emily Reichenbach
- Reliance Medical Group LLC (Act On Womens Health)
- Reliance Medical Group LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.