Individual provider Active NPI

Michelle Elizabeth D'Amico, M.A. CCC-A

  • Audiologist-Hearing Aid Fitter
  • Cherry Hill, NJ
National Provider Identifier
1649337940
Registry record updated Jan 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
41YA00086900 Issued in NJ
Practice address
1797 Springdale Rd
Cherry Hill, NJ 08003-2136
Phone
(856) 424-0414
Fax
(856) 424-6335
NPI assigned
Jan 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 41YA00086900 NJ Primary

Addresses

Primary practice location

1797 Springdale Rd
Cherry Hill, NJ 08003-2136

Mailing address

7 Tuxedo CT
Marlton, NJ 08053-5602
Phone (956) 983-0994

Other practice location 1

7 Tuxedo Court
Marlton, NJ 08053-5574
Phone (956) 983-0994

Other practice location 2

777 S White Horse Pike Ste B2
Hammonton, NJ 08037-2029
Phone (609) 561-1234

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110509000108 NJ Practitioner - Qualified Audiologist 6608939384 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scott L Busch DO PAGroup PAC ID 3072766245, 2 clinicians

Practice addresses (Care Compare)

1797 Springdale Rd
Cherry Hill, NJ 08003-2136
Phone (856) 424-0414

777 White Horse Pike
Suite B 2
Hammonton, NJ 08037-2029
Phone (609) 567-1234

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Scott L Busch DO PA Audiologist-Hearing Aid Fitter CurrentSince Jul 13, 2012 Accepting new patients
Ear,Nose, and Throat and Allergy Associates, PC PastSince Nov 1, 2006 Accepting new patients
Pinnacle Physicians Group LLC Past Accepting new patients

Locations

1797 Springdale Rd
Cherry Hill, NJ 08003
Phone (856) 424-0414

777 S White Horse Pike
Ste B2
Hammonton, NJ 08037
Phone (609) 561-1234

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580169600000",
    "number": "1649337940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 TUXEDO CT",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080535602",
            "telephone_number": "956-983-0994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1797 SPRINGDALE RD",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080032136",
            "telephone_number": "856-424-0414",
            "fax_number": "856-424-6335"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Tuxedo Court",
            "address_purpose": "LOCATION",
            "city": "Marlton",
            "state": "NJ",
            "postal_code": "080535574",
            "country_code": "US",
            "telephone_number": "956-983-0994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "777 S White Horse Pike Ste B2",
            "address_purpose": "LOCATION",
            "city": "Hammonton",
            "state": "NJ",
            "postal_code": "080372029",
            "country_code": "US",
            "telephone_number": "609-561-1234",
            "fax_number": "856-424-6335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "D'AMICO",
        "first_name": "MICHELLE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "M.A. CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NJ",
            "license": "41YA00086900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.