Individual provider Active NPI

Lisa J. Marencin, M.S.

  • Audiologist-Hearing Aid Fitter
  • Middletown, DE
National Provider Identifier
1447426374
Registry record updated Nov 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
020000050 Issued in DE
Practice address
104 Sleepy Hollow Dr
Suite 202
Middletown, DE 19709-5842
Phone
(302) 376-3500
Fax
(302) 376-5758
NPI assigned
Apr 30, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2017

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 020000050 DE Primary

Addresses

Primary practice location

104 Sleepy Hollow Dr
Suite 202
Middletown, DE 19709-5842

Mailing address

104 Sleepy Hollow Dr
Suite 202
Middletown, DE 19709-5842
Phone (302) 376-3500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081223000261 DE Practitioner - Qualified Audiologist 5890857007 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
020000050DEMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology Services Company USA, LLC CurrentSince Aug 1, 2018 Accepting new patients
Audiology Services Company USA, LLC CurrentSince Aug 1, 2018 Accepting new patients

Locations

99 Wolf Creek Blvd
Ste 3
Dover, DE 19901
Phone (302) 674-2502

146 Lantana Dr
Hockessin, DE 19707
Phone (302) 596-8647

104 Sleepy Hollow Dr
Ste 202
Middletown, DE 19709
Phone (302) 376-3500

28 Peoples Plz
Newark, DE 19702
Phone (302) 836-9870

2501 Cottontail Ln
Somerset, NJ 08873
Phone (732) 529-7120

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, 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": "1209513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509667200000",
    "number": "1447426374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 SLEEPY HOLLOW DR",
            "address_2": "SUITE 202",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197095842",
            "telephone_number": "302-376-3500",
            "fax_number": "302-376-5758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 SLEEPY HOLLOW DR",
            "address_2": "SUITE 202",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197095842",
            "telephone_number": "302-376-3500",
            "fax_number": "302-376-5758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARENCIN",
        "first_name": "LISA",
        "middle_name": "J.",
        "name_prefix": "Ms.",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-30",
        "last_updated": "2017-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "DE",
            "license": "020000050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2017; 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.