Individual provider Active NPI

Jennifer Elizabeth Dobbin, AUD

  • Audiologist
  • Bethlehem, PA
National Provider Identifier
1699287615
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AT0064549 Issued in PA
Practice address
2591 Baglyos Cir Ste C48
Bethlehem, PA 18020-8058
Phone
(610) 866-2929
NPI assigned
Oct 31, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AT0064549 PA Primary

Addresses

Primary practice location

2591 Baglyos Cir Ste C48
Bethlehem, PA 18020-8058

Mailing address

2591 Baglyos Cir Ste C48
Bethlehem, PA 18020-8058
Phone (610) 866-2929

Other practice location 1

930 Red Rose Ct Ste 301
Lancaster, PA 17601-1981
Phone (717) 517-9083

Other names 1

  • Jennifer Elizabeth Spaventa Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171121002729 PA Practitioner - Qualified Audiologist 3274890587 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Center for Audiology Services Inc.Group PAC ID 3971766072, 3 clinicians

Practice addresses (Care Compare)

2591 Baglyos Cir
Suite C48
Bethlehem, PA 18020-8058
Phone (610) 866-2929

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AT0064549PAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Audiology Services Inc. Audiologist CurrentSince Jul 1, 2023 Accepting new patients

Locations

2591 Baglyos Cir
Ste C48
Bethlehem, PA 18020
Phone (484) 821-0520

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": "1509408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686268800000",
    "number": "1699287615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2591 BAGLYOS CIR STE C48",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180208058",
            "telephone_number": "610-866-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2591 BAGLYOS CIR STE C48",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180208058",
            "telephone_number": "610-866-2929"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "930 Red Rose Ct Ste 301",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176011981",
            "country_code": "US",
            "telephone_number": "717-517-9083",
            "fax_number": "717-517-9243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOBBIN",
        "first_name": "JENNIFER",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-31",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "PA",
            "license": "AT0064549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "SPAVENTA",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bethlehem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; 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.