Shreemanti Chakrabarty, AUD
Individual provider Active NPI Audiologist · Dunellen, NJ
NPI 1437596129 · NPPES record last updated Oct 13, 2023
Key facts
- NPI
- 1437596129
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Audiologist 231H00000X
- Practice address
- 8 S Washington Ave
Dunellen, NJ 08812-1252 - Phone
- (732) 424-0445
- Fax
- (732) 421-1751
- NPI assigned
- Jun 4, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210727000353 | NJ | Practitioner - Qualified Audiologist | 2668607094 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hearing Health PA, LLC | Audiologist | Current |
Accepting new patients |
Locations
57 Schanck Rd
Ste C-5
Freehold, NJ 07728
Phone (732) 462-1413
723 N Beers St
Ste 2B
Holmdel, NJ 07733
Phone (732) 264-9501
35 Waterview Blvd
Ste 305
Parsippany, NJ 07054
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | Yes |
Addresses
Primary practice location
8 S Washington Ave
Dunellen, NJ 08812-1252
Mailing address
8 S Washington Ave
Dunellen, NJ 08812-1252
Phone (732) 424-0445
Other practice location 1
1050 Kings Hwy N Ste 101
Cherry Hill, NJ 08034-1909
Phone (856) 438-5354
Other practice location 2
4 Progress St Ste A7
Edison, NJ 08820-1199
Phone (908) 222-1845
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437596129 | Medicaid | VA |
Other providers in Dunellen, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 13, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.