Active NPI
Ann Marie Olson I, SC.D., CCC-A
- Audiologist
- Ho Ho Kus, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 41YA00082000
- Practice address
- 50 N Franklin Tpke BSMT B1
Ho Ho Kus, NJ 07423-1562 - Phone
- (201) 445-2455
- Fax
- (201) 445-2890
- NPI assigned
- May 16, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 25MG00093600 | NJ | |
| Audiologist | 231H00000X | 41YA00082000 | NJ | Primary |
Addresses
Primary practice location
50 N Franklin Tpke BSMT B1
Ho Ho Kus, NJ 07423-1562
Mailing address
50 N Franklin Tpke BSMT B1
Ho Ho Kus, NJ 07423-1562
Phone (201) 445-2455
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0123889 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
531 N Maple Ave
Ridgewood, NJ 07450-1612
Phone (201) 445-2455
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41YA00082000 | NJ | MD | Audiologist |
| 25MG00093600 | NJ | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sophisticated Hearing AIDS LLC | Audiologist | Current | Accepting new patients |
Locations
50 N Franklin Tpke
Ste B1
Ho Ho Kus, NJ 07423
Phone (201) 445-2455
531 N Maple Ave
Ridgewood, NJ 07450
Phone (201) 445-2455
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.
-
dba Sophisticated Hearing LLC
- Audiologist
- Ho Ho Kus, NJ
- NPI 1598168577
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391731200000",
"number": "1730395575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 N FRANKLIN TPKE BSMT B1",
"city": "HO HO KUS",
"state": "NJ",
"postal_code": "074231562",
"telephone_number": "201-445-2455",
"fax_number": "201-445-2890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 N FRANKLIN TPKE BSMT B1",
"city": "HO HO KUS",
"state": "NJ",
"postal_code": "074231562",
"telephone_number": "201-445-2455",
"fax_number": "201-445-2890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "ANN MARIE",
"name_prefix": "Dr.",
"name_suffix": "I",
"credential": "SC.D., CCC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-16",
"last_updated": "2014-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "NJ",
"license": "25MG00093600",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NJ",
"license": "41YA00082000",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0123889",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ho Ho Kus, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2014; 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.