Talia Gotlieb, MA, CCC-A

Primary specialty

AudiologistTaxonomy code 231H00000X

License

41YA00002100 Issued in NJ

Practice address

13-19 River Rd
Fair Lawn, NJ 07410-1837

Phone

(201) 703-6800

Fax

(201) 703-6805

NPI assigned

Jun 23, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

Practice roles

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.

• Gotlieb Hearing Center

  • Audiologist
  • Fair Lawn, NJ
  • NPI 1629419155
  NPD (past)

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404259200000",
    "number": "1528094745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13-19 RIVER RD",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074101837",
            "telephone_number": "201-703-6800",
            "fax_number": "201-703-6805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13-19 RIVER RD",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074101837",
            "telephone_number": "201-703-6800",
            "fax_number": "201-703-6805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTLIEB",
        "first_name": "TALIA",
        "name_prefix": "Ms.",
        "credential": "MA, CCC-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2014-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NJ",
            "license": "41YA00002100",
            "primary": true
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "NJ",
            "license": "25MG00039200",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6126600",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Camila Ortiz Gorraiz, MD
• Jessica E Gosses, LPC
• Tatiana V Gostev, MASSAGE THERAPIST
• Gotlieb Hearing Center
• Gotlieb Hearing Center Limited Liability Company
• Nicole E. Grace, LCSW, PSYA
• Thomas Charles Grace, PSY.D.
• Bryan F Granelli, PH.D.
• Robert Greenblum, MD
• Sarah Gregor, LSW

• Audiologist in Fair Lawn, NJ
• Providers in Fair Lawn, 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 2, 2014; 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.