Individual provider Active NPI

Elena Ballezzi, MA CCC-A

  • Audiologist-Hearing Aid Fitter
  • Philadelphia, PA
National Provider Identifier
1427279702
Registry record updated Dec 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
41YA00068500 Issued in NJ
Practice address
1920 Chestnut St
Philadelphia, PA 19103-4634
Phone
(215) 561-0550
NPI assigned
May 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 41YA00068500 NJ Primary

Addresses

Primary practice location

1920 Chestnut St
Philadelphia, PA 19103-4634

Mailing address

726 Sedgewick CT
Sewell, NJ 08080-2521

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110531000285 NJ Practitioner - Qualified Audiologist 1951459668 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1001 Sheppard Rd
Voorhees, NJ 08043-4796
Phone (856) 772-1617

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Health Care Associates of New Jersey, P.C. CurrentSince Apr 22, 2024 Accepting new patients
Atlanticare Physician Group PA CurrentSince Apr 9, 2023 Accepting new patients
Clinical Health Care Associates of New Jersey, PC CurrentSince Apr 22, 2024 Accepting new patients
Atlanticare Physician Group, PA CurrentSince Apr 9, 2023 Accepting new patients
Scott L Busch DO PA Audiologist-Hearing Aid Fitter PastSince Jul 13, 2012 Accepting new patients
Bernard J Ronis MD & Emil P Liebman PTR Past Accepting new patients
Ear,Nose, and Throat and Allergy Associates, PC PastSince Nov 1, 2006 Accepting new patients

Locations

436 Chris Gaupp Dr
Ste 204
Galloway, NJ 08205
Phone (609) 652-0100

459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815

570 Egg Harbor Rd
Ste B2
Sewell, NJ 08080
Phone (856) 256-0051

1605 E Evesham Rd
Ste 201
Voorhees, NJ 08043
Phone (856) 304-1114

1001 Sheppard Rd
Voorhees, NJ 08043
Phone (856) 745-9697

1006 Mantua Pike
Woodbury Hts, NJ 08097
Phone (856) 845-6880

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229904000000",
    "number": "1427279702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "726 SEDGEWICK CT",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 CHESTNUT ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191034634",
            "telephone_number": "215-561-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLEZZI",
        "first_name": "ELENA",
        "name_prefix": "Ms.",
        "credential": "MA CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2008-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NJ",
            "license": "41YA00068500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2008; 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.