Individual provider Active NPI

Elizabeth Moore Chiusano, M.ED., CCC-A

  • Audiologist
  • Newton, NJ
National Provider Identifier
1750370649
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
41YA00061500 Issued in NJ
Practice address
39 Newton Sparta Rd Ste 1C
Newton, NJ 07860-2773
Phone
(973) 383-4100
Fax
(973) 383-4104
NPI assigned
Oct 14, 2005
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 25MG00097400 NJ
Audiologist 231H00000X 41YA00061500 NJ Primary

Addresses

Primary practice location

39 Newton Sparta Rd Ste 1C
Newton, NJ 07860-2773

Mailing address

20 Goodale Rd
Newton, NJ 07860-2782
Phone (973) 579-3791

Other identifiers 6

IdentifierTypeStateIssuer
7684348OtherNJAETNA PROVIDER ID
421530924OtherNJHORIZON BCBS PROVIDER ID
P2593832OtherNJOXFORD PROVIDER ID
421530924OtherNJNJ CARPENTERS ID
804073OtherNJHEALTH NETWORK AMERICA ID
2203928OtherNJUNITED HEALTHCARE ID

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
41YA00061500NJMDAudiologist
25MG00097400NJMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology Services of NJ LLC Audiologist PastSince Mar 18, 2023 Accepting new patients

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, 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": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1750370649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 GOODALE RD",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078602782",
            "telephone_number": "973-579-3791",
            "fax_number": "973-579-3984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 NEWTON SPARTA RD STE 1C",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078602773",
            "telephone_number": "973-383-4100",
            "fax_number": "973-383-4104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIUSANO",
        "first_name": "ELIZABETH",
        "middle_name": "MOORE",
        "name_prefix": "Ms.",
        "credential": "M.ED., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-14",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NJ",
            "license": "25MG00097400",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NJ",
            "license": "41YA00061500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER ID",
            "identifier": "7684348",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON BCBS PROVIDER ID",
            "identifier": "421530924",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD PROVIDER ID",
            "identifier": "P2593832",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ CARPENTERS ID",
            "identifier": "421530924",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NETWORK AMERICA ID",
            "identifier": "804073",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE ID",
            "identifier": "2203928",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.