Chrnpda

Primary specialty

AudiologistTaxonomy code 231H00000X

Legal business name

CHRNPDA

Doing business as

JC Fyzical Audiology

Practice address

1217 Summit Ave
Jersey City, NJ 07307-3138

Phone

(201) 984-0520

Fax

(848) 257-9207

NPI assigned

May 12, 2022

Last updated

May 12, 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

Mark Mascarenhas

Title

Manager

Phone

(201) 984-0520

Specialties & licenses 1

Addresses

Other names 1

• JC Fyzical Audiology Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1652313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652313600000",
    "number": "1689310534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 SUMMIT AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073073138",
            "telephone_number": "201-984-0520",
            "fax_number": "848-257-9207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 SUMMIT AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073073138",
            "telephone_number": "201-984-0520",
            "fax_number": "848-257-9207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRNPDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-12",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A",
        "authorized_official_last_name": "MASCARENHAS",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "201-984-0520"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jerseycity.heights@fyzical.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1217 Summit Ave",
            "city": "Jersey City",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "073073138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "JC Fyzical Audiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Audiologist in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Audiologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.