Active NPI
Danielle Wall, AUD
- Audiologist
- Neptune, NJ
National Provider Identifier
1710929559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 41YA00059600
- Practice address
- 3700 Route 33
Suite 101
Neptune, NJ 07753-2305 - Phone
- (732) 280-7855
- Fax
- (732) 280-7815
- NPI assigned
- Jun 12, 2006
- Last updated
- May 24, 2021
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 41YA00059600 | NJ | Primary |
| Assistive Technology Practitioner Audiologist | 231HA2400X | 25MG00082100 | NJ | |
| Assistive Technology Supplier Audiologist | 231HA2500X | 25MG00082100 | NJ | |
| Audiologist-Hearing Aid Fitter | 237600000X | 25MG00082100 | NJ |
Addresses
Primary practice location
3700 Route 33
Suite 101
Neptune, NJ 07753-2305
Mailing address
3700 Route 33
Suite 101
Neptune, NJ 07753-2305
Phone (732) 280-7855
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MG00082100 | NJ | MD | Assistive Technology Practitioner Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NJ Regional Ear Nose & Throat Center LLC | Current | Accepting new patients | |
| Advanced Ears Nose and Throat LLC | Past | Accepting new patients | |
| William J Morrow DO PA | Past | Accepting new patients |
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.
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- NPI 1063591022
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- Somers Point, NJ
- NPI 1336206069
-
- Otolaryngology Physician
- Newark, DE
- NPI 1154445559
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621814400000",
"number": "1710929559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3700 ROUTE 33",
"address_2": "SUITE 101",
"city": "NEPTUNE",
"state": "NJ",
"postal_code": "077532305",
"telephone_number": "732-280-7855",
"fax_number": "732-280-7815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3700 ROUTE 33",
"address_2": "SUITE 101",
"city": "NEPTUNE",
"state": "NJ",
"postal_code": "077532305",
"telephone_number": "732-280-7855",
"fax_number": "732-280-7815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALL",
"first_name": "DANIELLE",
"name_prefix": "Ms.",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-12",
"last_updated": "2021-05-24",
"certification_date": "2021-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NJ",
"license": "41YA00059600",
"primary": true
},
{
"code": "231HA2400X",
"taxonomy_group": "",
"desc": "Audiologist, Assistive Technology Practitioner",
"state": "NJ",
"license": "25MG00082100",
"primary": false
},
{
"code": "231HA2500X",
"taxonomy_group": "",
"desc": "Audiologist, Assistive Technology Supplier",
"state": "NJ",
"license": "25MG00082100",
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "NJ",
"license": "25MG00082100",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Neptune, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.