Active NPI
Lisa Petino
- Assistive Technology Practitioner Audiologist
- Flemington, NJ
National Provider Identifier
1497959829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistive Technology Practitioner Audiologist
- License
- 41YA00049500
- 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.
-
- Otolaryngology Physician
- Flemington, NJ
- NPI 1821181462
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190528000302 | NJ | Practitioner - Qualified Audiologist | 7113260522 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Horizon Audiology Inc | Current | Accepting new patients | |
| Hearing Health PA, LLC | Current | Accepting new patients | |
| Hunterdon Otolaryngology Associates | Past | 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
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assistive Technology Practitioner Audiologist | 231HA2400X | 41YA00049500 | NJ | Primary |
Addresses
NPPES NPI RegistryPrimary 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.