Jenna Marie Pellicori, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

41YA00091300 Issued in NJ

Practice address

1000 White Horse Rd
Suite #510
Voorhees, NJ 08043-4406

Phone

(856) 627-4400

Fax

(856) 627-4401

NPI assigned

Jul 21, 2015

Last updated

Jul 21, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1437436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437436800000",
    "number": "1487039483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 WHITE HORSE RD",
            "address_2": "SUITE #510",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434406",
            "telephone_number": "856-627-4400",
            "fax_number": "856-627-4401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 WHITE HORSE RD",
            "address_2": "SUITE #510",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434406",
            "telephone_number": "856-627-4400",
            "fax_number": "856-627-4401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLICORI",
        "first_name": "JENNA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-21",
        "last_updated": "2015-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NJ",
            "license": "41YA00091300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donatella M Pavel, DO
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• Judith Ann Peak, LSW
• Pediatric Intensive Care Associates
• Robert Joseph Pelaez, PT, DPT
• Meryl Penalver, NP
• Harini Pendem, MD
• Penn Valley Anesthesia Associates, LLC
• Penn Valley Anesthesia Associates, LLC
• Alfio K Pennisi, MD

• Audiologist in Voorhees, NJ
• Providers in Voorhees, NJ by specialty
• Audiologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2015; 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.