Active NPI
Abington Audiology and Balance Center, LLC
- Audiologist
- South Abington Township, PA
National Provider Identifier
1801004247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AT005941
- Legal business name
- ABINGTON AUDIOLOGY AND BALANCE CENTER, LLC
- Practice address
- 790 Northern Blvd
South Abington Township, PA 18411-8799 - Phone
- (570) 587-3277
- Fax
- (570) 587-4604
- NPI assigned
- May 18, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Erica H Gallagher, AU.D.
- Title
- Owner, Audiologist
- Phone
- (570) 587-3277
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AT005941 | PA | Primary |
Addresses
Primary practice location
790 Northern Blvd
South Abington Township, PA 18411-8799
Mailing address
790 Northern Blvd
South Abington Township, PA 18411-8799
Phone (570) 587-3277
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070709000165 | PA | Part B Supplier - Clinic/Group Practice | 7416057377 |
Receives reassigned benefits from 1 practitioner Practice locations: South Abington Township, PA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Audiologist
- South Abington Township, PA
- NPI 1962553206
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1486944000000",
"number": "1801004247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 NORTHERN BLVD",
"city": "SOUTH ABINGTON TOWNSHIP",
"state": "PA",
"postal_code": "184118799",
"telephone_number": "570-587-3277",
"fax_number": "570-587-4604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "790 NORTHERN BLVD",
"city": "SOUTH ABINGTON TOWNSHIP",
"state": "PA",
"postal_code": "184118799",
"telephone_number": "570-587-3277",
"fax_number": "570-587-4604"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ABINGTON AUDIOLOGY AND BALANCE CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-18",
"last_updated": "2017-02-13",
"status": "A",
"authorized_official_last_name": "GALLAGHER",
"authorized_official_first_name": "ERICA",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "OWNER, AUDIOLOGIST",
"authorized_official_telephone_number": "570-587-3277",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "AU.D."
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Audiologist",
"state": "PA",
"license": "AT005941",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Abington Township, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2017; 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.