Individual provider Active NPI

William B Stoll, AU.D., CCC-A

  • Audiologist
  • Hackensack, NJ
National Provider Identifier
1922615392
Registry record updated Sep 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
41YA00110300 Issued in NJ
Practice address
20 Prospect Ave Ste 808
Hackensack, NJ 07601-1974
Phone
(201) 820-4110
NPI assigned
Sep 29, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 41YA00110300 NJ Primary

Addresses

Primary practice location

20 Prospect Ave Ste 808
Hackensack, NJ 07601-1974

Mailing address

20 Prospect Ave Ste 808
Hackensack, NJ 07601-1974

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201125002328 NJ Practitioner - Qualified Audiologist 2961813886 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christopher M Shaari MD PCGroup PAC ID 6608813852, 2 clinicians
Hackensack Audiology and Hearing Aid Associates, LLCGroup PAC ID 7214094846, 4 clinicians

Practice addresses (Care Compare)

20 Prospect Ave
Suite 712
Hackensack, NJ 07601-1999
Phone (201) 342-8060

20 Prospect Ave
Suite 808
Hackensack, NJ 07601-1974
Phone (201) 820-4110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Audiology and Hearing Aid Associates, LLC Audiologist CurrentSince Nov 1, 2020 Accepting new patients
Christopher M. Shaari, M.D., P.C. CurrentSince May 1, 2021 Accepting new patients
Hackensack Audiology and Hearing Aid Associates Audiologist PastSince Oct 4, 2020 Accepting new patients

Locations

20 Prospect Ave
Hackensack, NJ 07601
Phone (201) 996-2816

20 Prospect Ave
Ste 712
Hackensack, NJ 07601
Phone (201) 342-8060

20 Prospect Ave
Ste 808
Hackensack, NJ 07601
Phone (201) 203-6145

Organizations & group practices 3

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": "1601337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601337600000",
    "number": "1922615392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 PROSPECT AVE STE 808",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 PROSPECT AVE STE 808",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011974",
            "telephone_number": "201-820-4110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLL",
        "first_name": "WILLIAM",
        "middle_name": "B",
        "credential": "AU.D., CCC-A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-29",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NJ",
            "license": "41YA00110300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2020; 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.