NPIMap

Organization Active NPI

Coastal Audiology LLC

  • Audiologist
  • Manahawkin, NJ
National Provider Identifier
1740207158
Registry record updated Aug 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
41YB00000800 Issued in NJ
Legal business name
COASTAL AUDIOLOGY LLC
Practice address
24 Nautilus Dr
Suite 6
Manahawkin, NJ 08050-2490
Phone
(609) 978-9192
Fax
(609) 798-9190
NPI assigned
Jul 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2014

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

Authorized official

Name
Steven Eric Berman, PHDNPI 1639256142
Title
Audiologist Speech Pathologist
Phone
(856) 795-5502

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193200000X MULTI-SPECIALTY GROUP 231H00000X 41YB00000800 NJ Primary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 41YB00000800 NJ

Addresses

Primary practice location

24 Nautilus Dr
Suite 6
Manahawkin, NJ 08050-2490

Mailing address

PO Box 175
Cedar Brook, NJ 08018-0175
Phone (609) 704-1857

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040721000700 NJ Part B Supplier - Clinic/Group Practice 0648250639 Receives reassigned benefits from 5 practitioners
Practice locations: Manahawkin, NJ

National Provider Directory

National Provider Directory

Locations

54 Bey Lea Rd
Ste 3
Toms River, NJ 08753
Phone (732) 281-0100

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407888000000",
    "number": "1740207158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 175",
            "city": "CEDAR BROOK",
            "state": "NJ",
            "postal_code": "080180175",
            "telephone_number": "609-704-1857",
            "fax_number": "609-704-1859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 NAUTILUS DR",
            "address_2": "SUITE 6",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080502490",
            "telephone_number": "609-978-9192",
            "fax_number": "609-798-9190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL AUDIOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2014-08-13",
        "status": "A",
        "authorized_official_last_name": "BERMAN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "AUDIOLOGIST SPEECH PATHOLOGIST",
        "authorized_official_telephone_number": "856-795-5502",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": "NJ",
            "license": "41YB00000800",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YB00000800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manahawkin, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2014; 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.