Active NPI
Marvin Woolf Engelberg, PH.D. CCC/A
- Audiologist
- Cleveland, OH
National Provider Identifier
1770696957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- A-00012
- Practice address
- 10701 East Blvd
126W
Cleveland, OH 44106-1702 - Phone
- (216) 421-3047
- Fax
- (216) 707-5958
- NPI assigned
- Aug 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | A-00012 | OH | Primary |
Addresses
Primary practice location
10701 East Blvd
126W
Cleveland, OH 44106-1702
Mailing address
3906 Meadowbrook Blvd
University Heights, OH 44118-4401
Phone (216) 371-9746
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A-00012 | OH | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1770696957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3906 MEADOWBROOK BLVD",
"city": "UNIVERSITY HEIGHTS",
"state": "OH",
"postal_code": "441184401",
"telephone_number": "216-371-9746",
"fax_number": "216-932-6748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10701 EAST BLVD",
"address_2": "126W",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441061702",
"telephone_number": "216-421-3047",
"fax_number": "216-707-5958"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENGELBERG",
"first_name": "MARVIN",
"middle_name": "WOOLF",
"credential": "PH.D. CCC/A",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "OH",
"license": "A-00012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.