Organization Active NPI

Excel Audiology, PLLC

  • Audiologist
  • Wilmington, NC
National Provider Identifier
1457934200
Registry record updated Jul 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
EXCEL AUDIOLOGY, PLLC
Practice address
5725 Oleander Dr F1-1, Wilmington, NC 28403
Wilmington, NC 28403
Phone
(516) 987-5726
NPI assigned
Apr 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2021

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

Authorized official

Name
Dr. Jason L Rickman, AUDNPI 1902340300
Title
Managing Member
Phone
(516) 987-5726

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X Primary

Addresses

Primary practice location

5725 Oleander Dr F1-1, Wilmington, NC 28403
Wilmington, NC 28403

Mailing address

5725 Oleander Dr Ste F1-1
Wilmington, NC 28403-4758
Phone (516) 987-5726

National Provider Directory

National Provider Directory

Locations

5725 Oleander Dr
Ste F1-1
Wilmington, NC 28403
Phone (516) 987-5726

5725 Oleander Dr
Ste F1
Wilmington, NC 28403

5725 Oleander Dr
#F11
Wilmington, NC 28403
Phone (516) 987-5726

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1619654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626739200000",
    "number": "1457934200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5725 OLEANDER DR STE F1-1",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284034758",
            "telephone_number": "516-987-5726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5725 OLEANDER DR F1-1, WILMINGTON, NC 28403",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "28403",
            "telephone_number": "516-987-5726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL AUDIOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-29",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A",
        "authorized_official_last_name": "RICKMAN",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "516-987-5726",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.