Organization Active NPI

Audiology Island of New Jersey, PC

  • Audiologist
  • Holmdel, NJ
National Provider Identifier
1902586407
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
AUDIOLOGY ISLAND OF NEW JERSEY, PC
Practice address
2080 Highway 35 Ste 100
Holmdel, NJ 07733-1090
Phone
(718) 980-0188
NPI assigned
Jul 19, 2023
Last updated
Jul 19, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

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

Authorized official

Name
Zhanetta Shapiro
Title
Owner
Phone
(718) 980-0188

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X NU Primary

Addresses

Primary practice location

2080 Highway 35 Ste 100
Holmdel, NJ 07733-1090

Mailing address

2080 Highway 35 Ste 100
Holmdel, NJ 07733-1090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230821000453 NJ Part B Supplier - Clinic/Group Practice 5092177253 Receives reassigned benefits from 2 practitioners
Practice locations: East Brunswick, NJ; Holmdel, NJ

National Provider Directory

National Provider Directory

Locations

2080 State Route 35
Ste 100
Holmdel, NJ 07733
Phone (718) 980-0188

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1689724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689724800000",
    "number": "1902586407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 HIGHWAY 35 STE 100",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 HIGHWAY 35 STE 100",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331090",
            "telephone_number": "718-980-0188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUDIOLOGY ISLAND OF NEW JERSEY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-19",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A",
        "authorized_official_last_name": "SHAPIRO",
        "authorized_official_first_name": "ZHANETTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-980-0188"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holmdel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; 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.

Verify at the official NPI Registry.