Individual provider Active NPI

Jodi M Rokuson, AU.D.

  • Audiologist-Hearing Aid Fitter
  • New York, NY
National Provider Identifier
1669813812
Registry record updated Jul 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
002460-1 Issued in NY
Practice address
1356 1St Ave
Apt. 3D
New York, NY 10021-4434
Phone
(973) 650-0918
NPI assigned
Jul 16, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 002460-1 NY Primary
Audiologist-Hearing Aid Fitter 237600000X A1YA00085000 NJ

Addresses

Primary practice location

1356 1St Ave
Apt. 3D
New York, NY 10021-4434

Mailing address

1356 First Avenue
Apt. 3D
New York, NY 10021
Phone (973) 650-0918

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220825001840 NJ Practitioner - Qualified Audiologist 3678703840 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Vanderbilt University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northland Hearing Centers IncGroup PAC ID 3072514884, 5 clinicians

Practice addresses (Care Compare)

681 Main St
Hackensack, NJ 07601-4773
Phone (201) 343-1980

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002460-1NYMDMental Health Counselor
A1YA00085000NJMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Northland Hearing Centers, Inc. Audiologist-Hearing Aid Fitter CurrentSince Jul 1, 2022 Accepting new patients
Northland Hearing Centers, Inc. Audiologist-Hearing Aid Fitter Past Accepting new patients

Locations

6700 Washington Ave S
Eden Prairie, MN 55344
Phone (952) 995-6601

401 Cooper Landing Rd
Ste C15
Cherry Hill, NJ 08002
Phone (856) 667-2009

681 Main St
Hackensack, NJ 07601
Phone (201) 343-1980

33 State Rd
Ste B
Princeton, NJ 08540
Phone (609) 683-3996

Organizations & group practices 2

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": "1373932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373932800000",
    "number": "1669813812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1356 FIRST AVENUE",
            "address_2": "APT. 3D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10021",
            "telephone_number": "973-650-0918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1356 1ST AVE",
            "address_2": "APT. 3D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214434",
            "telephone_number": "973-650-0918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROKUSON",
        "first_name": "JODI",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-16",
        "last_updated": "2013-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NY",
            "license": "002460-1",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NJ",
            "license": "A1YA00085000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; 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.