Advance Audiology Care

Primary specialty

AudiologistTaxonomy code 231H00000X

Legal business name

ADVANCE AUDIOLOGY CARE

Practice address

200 Perrine Rd Ste 210
Old Bridge, NJ 08857-2836

Phone

(516) 314-0988

Fax

(908) 935-0574

NPI assigned

Aug 14, 2020

Last updated

Sep 27, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Peter Fan, AU.D.NPI 1003077405

Title

Audiologist

Phone

(516) 314-0988

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Peter C Fan, AUDIOLOGIST (AUD)

  • Audiologist
  • Old Bridge, NJ
  • NPI 1003077405
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1597363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664236800000",
    "number": "1659982403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 PERRINE RD STE 210",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088572836",
            "telephone_number": "516-314-0988",
            "fax_number": "908-935-0574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PERRINE RD STE 210",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088572836",
            "telephone_number": "516-314-0988",
            "fax_number": "908-935-0574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE AUDIOLOGY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-14",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A",
        "authorized_official_last_name": "FAN",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "AUDIOLOGIST",
        "authorized_official_telephone_number": "516-314-0988",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Audiologist in Old Bridge, NJ
• Providers in Old Bridge, NJ by specialty
• Audiologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; 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.