Individual provider Active NPI

Dongwoo Noh

  • Audiologist-Hearing Aid Fitter
  • Tenafly, NJ
National Provider Identifier
1821440074
Registry record updated Nov 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
14000048561 Issued in NY
Practice address
22 Porter Ave
Tenafly, NJ 07670-2432
Phone
(865) 816-4103
NPI assigned
Jul 11, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 41YA00092800 NJ
Audiologist-Hearing Aid Fitter 237600000X 14000048561 NY Primary

Addresses

Primary practice location

22 Porter Ave
Tenafly, NJ 07670-2432

Mailing address

22 Porter Ave
Tenafly, NJ 07670-2432

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161011002155 NJ Practitioner - Qualified Audiologist 9436447232 Reassigns benefits to 1 organization
I20171128002783 NY Practitioner - Qualified Audiologist 9436447232 Practice locations: Flushing, NY

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

375 Sylvan Ave
Suite 6
Englewood Cliffs, NJ 07632-2714
Phone (201) 912-4055

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14000048561NYMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Dongwoo Noh Current Accepting new patients
Good News Hearing and Communication Center Audiologist CurrentSince Aug 25, 2016 Accepting new patients

Locations

375 Sylvan Ave
Ste 6
Englewood Cliffs, NJ 07632
Phone (201) 912-4055

16108 46th Ave
Fl 1
Flushing, NY 11358
Phone (917) 599-2817

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1468195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512000000000",
    "number": "1821440074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 PORTER AVE",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076702432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 PORTER AVE",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076702432",
            "telephone_number": "865-816-4103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOH",
        "first_name": "DONGWOO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-11",
        "last_updated": "2017-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NJ",
            "license": "41YA00092800",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NY",
            "license": "14000048561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tenafly, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.