Individual provider Active NPI

Ashley Andrejko, AU.D.

  • Audiologist
  • Dallas, PA
National Provider Identifier
1669024196
Registry record updated Jul 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AT006634 Issued in PA
Practice address
1132 Twin Stacks Dr
Dallas, PA 18612-8505
Phone
(570) 675-8113
NPI assigned
Jul 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AT006634 PA Primary

Addresses

Primary practice location

1132 Twin Stacks Dr
Dallas, PA 18612-8505

Mailing address

811 Ward St
Jessup, PA 18434-1633
Phone (570) 383-4874

Other practice location 1

400 3rd Ave
Kingston, PA 18704-5816
Phone (570) 714-2656

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190820001133 PA Practitioner - Qualified Audiologist 0446588172 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Pennsylvania College of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jefferson University PhysiciansGroup PAC ID 7911819180, 1,528 clinicians

Practice addresses (Care Compare)

925 Chestnut St
FL 6
Philadelphia, PA 19107-4204
Phone (215) 955-6760

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AT006634PAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Hearing Center Zeigler Audiology LLC Audiologist CurrentSince Jul 25, 2019 Accepting new patients
Geisinger Clinic CurrentSince Sep 22, 2022 Accepting new patients
Geisinger Clinic CurrentSince Sep 22, 2022 Accepting new patients
Jefferson University Physicians CurrentSince Apr 29, 2024 Accepting new patients
Geisinger Clinic Current Accepting new patients
MLM USA LLC Audiologist PastSince Mar 31, 2026 Accepting new patients

Locations

100 N Academy Ave
Danville, PA 17822

920 Wyoming Ave
Ste 101
Kingston, PA 18704
Phone (570) 714-2656

925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760

1000 E Mountain Dr
Wilkes Barre, PA 18711
Phone (570) 826-7300

Organizations & group practices 6

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": "1563148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563148800000",
    "number": "1669024196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 WARD ST",
            "city": "JESSUP",
            "state": "PA",
            "postal_code": "184341633",
            "telephone_number": "570-383-4874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1132 TWIN STACKS DR",
            "city": "DALLAS",
            "state": "PA",
            "postal_code": "186128505",
            "telephone_number": "570-675-8113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 3rd Ave",
            "address_purpose": "LOCATION",
            "city": "Kingston",
            "state": "PA",
            "postal_code": "187045816",
            "country_code": "US",
            "telephone_number": "570-714-2656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDREJKO",
        "first_name": "ASHLEY",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-15",
        "last_updated": "2019-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "PA",
            "license": "AT006634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2019; 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.