Active NPI
Meredith Marie Nowak, AU.D.
- Audiologist-Hearing Aid Fitter
- Pikesville, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- 01179
- Practice address
- 4000 Old Court Rd
Ste 202
Pikesville, MD 21208-2800 - Phone
- (410) 580-1222
- Fax
- (410) 580-9114
- NPI assigned
- Sep 20, 2010
- Last updated
- Nov 30, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 01179 | MD | |
| Audiologist-Hearing Aid Fitter | 237600000X | 01179 | MD | Primary |
Addresses
Primary practice location
4000 Old Court Rd
Ste 202
Pikesville, MD 21208-2800
Mailing address
4000 Old Court Rd Ste 202
Pikesville, MD 21208-2894
Phone (410) 520-1222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13803218 | Other | MD | CAQH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10514 Racetrack Rd
Suite F
Berlin, MD 21811-3241
Phone (410) 641-3134
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01179 | MD | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Audiology Distribution, LLC | Audiologist-Hearing Aid Fitter | Current | Accepting new patients |
Locations
11400 N Jog Rd
Palm Beach Gardens, FL 33418
Phone 5614788770 ext. 181
10455 Riverside Dr
West Palm Beach, FL 33410
Phone (800) 323-3277
10514 Racetrack Rd
Ste F
Berlin, MD 21811
Phone (410) 641-3134
8818 Centre Park Dr
Columbia, MD 21045
Phone (301) 265-5617
8818 Centre Park Dr
Ste 107
Columbia, MD 21045
Phone (410) 740-4885
3402 Olandwood Ct
Olney, MD 20832
Phone (301) 260-0966
1496 Still Meadow Blvd
Ste B
Salisbury, MD 21804
Phone (410) 219-5088
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512000000000",
"number": "1679881957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4000 OLD COURT RD STE 202",
"city": "PIKESVILLE",
"state": "MD",
"postal_code": "212082894",
"telephone_number": "410-520-1222",
"fax_number": "410-520-9114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 OLD COURT RD",
"address_2": "STE 202",
"city": "PIKESVILLE",
"state": "MD",
"postal_code": "212082800",
"telephone_number": "410-580-1222",
"fax_number": "410-580-9114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOWAK",
"first_name": "MEREDITH",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-20",
"last_updated": "2017-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MD",
"license": "01179",
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "MD",
"license": "01179",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "13803218",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pikesville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2017; 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.