Individual provider Active NPI

Anne Michele Puglisi, AU.D.

  • Audiologist-Hearing Aid Fitter
  • Clark, NJ
National Provider Identifier
1700046844
Registry record updated Jul 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
41YA00049800 Issued in NJ
Practice address
49 Brant Ave
Suite 4
Clark, NJ 07066-1561
Phone
(732) 574-3550
Fax
(732) 574-2632
NPI assigned
Jun 12, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 41YA00049800 NJ Primary

Addresses

Primary practice location

49 Brant Ave
Suite 4
Clark, NJ 07066-1561

Mailing address

49 Brant Ave
Suite 4
Clark, NJ 07066-1561
Phone (732) 574-3550

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140103000476 NJ Practitioner - Qualified Audiologist 6800024480 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Hearing Center PCGroup PAC ID 8729145008, 5 clinicians

Practice addresses (Care Compare)

49 Brant Ave
Suite 4
Clark, NJ 07066-1550
Phone (732) 574-3550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
41YA00049800NJMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
The Hearing Center, PC Audiologist-Hearing Aid Fitter CurrentSince Jul 1, 2013 Accepting new patients
Summit Speech School Current Accepting new patients

Locations

49 Brant Ave
Ste 4
Clark, NJ 07066
Phone (732) 574-3550

317 Cleveland Ave
Ste 206
Highland Park, NJ 08904
Phone (732) 243-9444

224 Taylors Mills Rd
Ste 105B
Manalapan, NJ 07726
Phone (732) 462-8412

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": "1213228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374624000000",
    "number": "1700046844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 BRANT AVE",
            "address_2": "SUITE 4",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661561",
            "telephone_number": "732-574-3550",
            "fax_number": "732-574-2632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 BRANT AVE",
            "address_2": "SUITE 4",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661561",
            "telephone_number": "732-574-3550",
            "fax_number": "732-574-2632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUGLISI",
        "first_name": "ANNE MICHELE",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-12",
        "last_updated": "2013-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NJ",
            "license": "41YA00049800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.