Active NPI
Jacquelyn Eileen Gargiulo, AU.D.
- Audiologist
- Wyomissing, PA
National Provider Identifier
1801347380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AT006488
- Practice address
- 2101 State Hill Rd
Wyomissing, PA 19610-1993 - Phone
- (484) 628-0302
- NPI assigned
- Oct 19, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AT006488 | PA | Primary |
Addresses
Primary practice location
2101 State Hill Rd
Wyomissing, PA 19610-1993
Mailing address
205 Limestone Dr
Myerstown, PA 17067-4116
Phone (631) 994-6604
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT006488 | PA | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595808000000",
"number": "1801347380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 LIMESTONE DR",
"city": "MYERSTOWN",
"state": "PA",
"postal_code": "170674116",
"telephone_number": "631-994-6604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 STATE HILL RD",
"city": "WYOMISSING",
"state": "PA",
"postal_code": "196101993",
"telephone_number": "484-628-0302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARGIULO",
"first_name": "JACQUELYN",
"middle_name": "EILEEN",
"name_prefix": "Ms.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-19",
"last_updated": "2020-07-27",
"certification_date": "2020-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "PA",
"license": "AT006488",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wyomissing, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.