Dolores R. Boisselle, AUD

Primary specialty

AudiologistTaxonomy code 231H00000X

License

41YA00011400

Practice address

One Broadway
Suite 302
Elmwood Park, NJ 07407

Phone

(201) 773-8962

Fax

(201) 773-8963

NPI assigned

Apr 21, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

NJ Audiology Group IncGroup PAC ID 2769865476, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Audslp Diagnostic and Rehabilitation Clinic

  • Clinic/Center
  • Elmwood Park, NJ
  • NPI 1891092755
  Medicare reassignment NPD Authorized official
• NJ Audiology Group Inc

  • Clinic/Center
  • North Bergen, NJ
  • NPI 1184357683
  Medicare reassignment Care Compare group NPD
• Audslp Diagnostic and Rehabilitation Clinic

  dba Audslp Diagnostic and Rehabilitation Clinic 2

  • Audiologist
  • Elmwood Park, NJ
  • NPI 1275005852
  NPD
• Ocean Audiology Inc

  • Audiologist
  • Belleville, NJ
  • NPI 1376108712
  NPD (past)

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

{
    "created_epoch": "1240272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1851535934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE BROADWAY",
            "address_2": "SUITE 302",
            "city": "ELMWOOD PARK",
            "state": "NJ",
            "postal_code": "07407",
            "telephone_number": "201-773-8962",
            "fax_number": "201-773-8963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE BROADWAY",
            "address_2": "SUITE 302",
            "city": "ELMWOOD PARK",
            "state": "NJ",
            "postal_code": "07407",
            "telephone_number": "201-773-8962",
            "fax_number": "201-773-8963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOISSELLE",
        "first_name": "DOLORES",
        "middle_name": "R.",
        "name_prefix": "Mrs.",
        "credential": "AUD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-21",
        "last_updated": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NJ",
            "license": "41YA00011400",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": "41YA00011400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0974382",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Biogenica Laboratories LLC (Suretox Laboratory)
• Bioreference Health, LLC
• Bioreference Health, LLC
• Jeffrey W Bissonnette, CGC
• Blossoming Minds Counseling LLC
• Stephan Borbely, DPM
• Borough of Elmwood Park
• Brightside Dental of Elmwood Park
• Aaron David Brisman, DDS
• Brli - Genpath Diagnostics, Inc (GenPath)

• Audiologist in Elmwood Park, NJ
• Providers in Elmwood Park, NJ by specialty
• Audiologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.