Individual provider Active NPI

Lisa Petino

  • Assistive Technology Practitioner Audiologist
  • Flemington, NJ
National Provider Identifier
1497959829
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistive Technology Practitioner AudiologistTaxonomy code 231HA2400X
License
41YA00049500 Issued in NJ
Practice address
6 Sand Hill Rd
Suite 302
Flemington, NJ 08822-4946
Phone
(908) 788-9131
Fax
(908) 788-0945
NPI assigned
Jun 11, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190528000302 NJ Practitioner - Qualified Audiologist 7113260522 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Audiology Inc CurrentSince May 3, 2019 Accepting new patients
Hearing Health PA, LLC CurrentSince Aug 6, 2025 Accepting new patients
Hunterdon Otolaryngology Associates PastSince May 3, 2019 Accepting new patients

Locations

300A Princeton Hightstown Rd
Ste 204
East Windsor, NJ 08520
Phone (609) 448-9730

361 State Route 31
Ste 804
Flemington, NJ 08822
Phone (908) 751-0445

35 Waterview Blvd
Ste 305
Parsippany, NJ 07054

84 Route 31 N
Ste 200
Pennington, NJ 08534
Phone (609) 647-7875

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Assistive Technology Practitioner Audiologist 231HA2400X 41YA00049500 NJ Primary

Addresses

NPPES NPI Registry

Primary practice location

6 Sand Hill Rd
Suite 302
Flemington, NJ 08822-4946

Mailing address

6 Sand Hill Rd
Suite 302
Flemington, NJ 08822-4946
Phone (908) 788-9131

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497959829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 SAND HILL RD",
            "address_2": "SUITE 302",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088224946",
            "telephone_number": "908-788-9131",
            "fax_number": "908-788-0945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 SAND HILL RD",
            "address_2": "SUITE 302",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088224946",
            "telephone_number": "908-788-9131",
            "fax_number": "908-788-0945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETINO",
        "first_name": "LISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231HA2400X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Practitioner",
            "state": "NJ",
            "license": "41YA00049500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flemington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.