Individual provider Active NPI

Jessica Ann Cofoni, AU.D.

  • Audiologist
  • Bridgewater, NJ
National Provider Identifier
1639488471
Registry record updated Oct 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
41YA00078900 Issued in NJ
Practice address
245 Route 22
Suite 300
Bridgewater, NJ 08807-2560
Phone
(908) 722-1022
Fax
(908) 722-1022
NPI assigned
Sep 28, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 2201001441 VA
Audiologist 231H00000X 41YA00078900 NJ Primary
Audiologist-Hearing Aid Fitter 237600000X 25MG00122000 NJ

Addresses

Primary practice location

245 Route 22
Suite 300
Bridgewater, NJ 08807-2560

Mailing address

245 Route 22
Suite 300
Bridgewater, NJ 08807-2560
Phone (908) 722-1022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
41YA00078900NJMDAudiologist
25MG00122000NJMDAudiologist-Hearing Aid Fitter
2201001441VAMDAudiologist-Hearing Aid Fitter

NPI Registry JSON

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

{
    "created_epoch": "1285632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414713600000",
    "number": "1639488471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 ROUTE 22",
            "address_2": "SUITE 300",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088072560",
            "telephone_number": "908-722-1022",
            "fax_number": "908-722-1022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 ROUTE 22",
            "address_2": "SUITE 300",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088072560",
            "telephone_number": "908-722-1022",
            "fax_number": "908-722-1022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFONI",
        "first_name": "JESSICA",
        "middle_name": "ANN",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-28",
        "last_updated": "2014-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "VA",
            "license": "2201001441",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NJ",
            "license": "41YA00078900",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NJ",
            "license": "25MG00122000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgewater, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2014; 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.