Organization Active NPI

Audiopedics LLC

  • Audiologist
  • Whitehouse Station, NJ
National Provider Identifier
1487894192
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
41YB00005600 Issued in NJ
Legal business name
AUDIOPEDICS LLC
Practice address
456 Route 22 West
Whitehouse Station, NJ 08889-0000
Phone
(908) 479-1341
Fax
(908) 534-0144
NPI assigned
Feb 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Authorized official

Name
Shailashree Channapatna Nanjundiah, AUDNPI 1114064771
Title
Audiologist and Speech Pathologist
Phone
(908) 235-8234

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193200000X MULTI-SPECIALTY GROUP 231H00000X 41YB00005600 NJ Primary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 41YB00005600 NJ
Audiologist-Hearing Aid FitterGroup: 193200000X MULTI-SPECIALTY GROUP 237600000X 25MG00101000 NJ

Addresses

Primary practice location

456 Route 22 West
Whitehouse Station, NJ 08889-0000

Mailing address

456 US Highway 22 W
Whitehouse Station, NJ 08889-3439
Phone (908) 479-1341

Other names 1

  • Audiopedics Speech and Hearing Center LLC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130621000368 NJ Part B Supplier - Clinic/Group Practice 6305085416 Receives reassigned benefits from 2 practitioners
Practice locations: Whitehouse Station, NJ

National Provider Directory

National Provider Directory

Locations

456 US Highway 22 W
Whitehouse Station, NJ 08889
Phone (908) 479-1341

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": "1235088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705363200000",
    "number": "1487894192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "456 US HIGHWAY 22 W",
            "city": "WHITEHOUSE STATION",
            "state": "NJ",
            "postal_code": "088893439",
            "telephone_number": "908-479-1341",
            "fax_number": "908-534-0144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "456 ROUTE 22 WEST",
            "city": "WHITEHOUSE STATION",
            "state": "NJ",
            "postal_code": "088890000",
            "telephone_number": "908-479-1341",
            "fax_number": "908-534-0144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUDIOPEDICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-20",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A",
        "authorized_official_last_name": "NANJUNDIAH",
        "authorized_official_first_name": "SHAILASHREE",
        "authorized_official_middle_name": "CHANNAPATNA",
        "authorized_official_title_or_position": "AUDIOLOGIST AND SPEECH PATHOLOGIST",
        "authorized_official_telephone_number": "908-235-8234",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": "NJ",
            "license": "41YB00005600",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YB00005600",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NJ",
            "license": "25MG00101000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Audiopedics Speech and Hearing Center LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Whitehouse Station, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; 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.