Individual provider Active NPI

Vallaree Alyse Wyld, AU.D.

  • Audiologist
  • Cherry Hill, NJ
National Provider Identifier
1700773686
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
41YA00135700 Issued in NJ
Practice address
1050 Kings Hwy N Ste 101
Cherry Hill, NJ 08034-1909
Phone
(856) 438-5354
Fax
(856) 435-5691
NPI assigned
Jun 23, 2025
Last updated
Jun 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 41YA00135700 NJ Primary

Addresses

Primary practice location

1050 Kings Hwy N Ste 101
Cherry Hill, NJ 08034-1909

Mailing address

1050 Kings Hwy N Ste 101
Cherry Hill, NJ 08034-1909
Phone (856) 438-5354

Other names 1

  • Vallaree Alyse Archamabault Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250721000721 NJ Practitioner - Qualified Audiologist 6002322799 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology Services Company USA, LLC Audiologist Current Accepting new patients
Audiology Services Company USA, LLC CurrentSince Jul 2, 2025 Accepting new patients
Audiology Services Company USA, LLC CurrentSince Jul 2, 2025 Accepting new patients

Locations

1050 Kings Hwy N
Ste 101
Cherry Hill, NJ 08034
Phone (856) 438-5353

138 Village Center Dr
Unit B4
Freehold, NJ 07728
Phone (732) 683-1140

2501 Cottontail Ln
Somerset, NJ 08873
Phone (732) 529-7120

Organizations & group practices 3

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": "1750636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1700773686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 KINGS HWY N STE 101",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080341909",
            "telephone_number": "856-438-5354",
            "fax_number": "856-435-5691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 KINGS HWY N STE 101",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080341909",
            "telephone_number": "856-438-5354",
            "fax_number": "856-435-5691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYLD",
        "first_name": "VALLAREE",
        "middle_name": "ALYSE",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-23",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NJ",
            "license": "41YA00135700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VALLAREE",
            "last_name": "ARCHAMABAULT",
            "middle_name": "ALYSE",
            "credential": "AU.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.