Individual provider Active NPI

Jonathan M Schug, AUD

  • Audiologist
  • Ponte Vedra Beach, FL
National Provider Identifier
1942667068
Registry record updated Mar 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY2008 Issued in FL
Practice address
166 A1A N Ste 100
Ponte Vedra Beach, FL 32082-5701
Phone
(904) 273-2232
Fax
(904) 273-2219
NPI assigned
Jan 20, 2016
Last updated
Mar 12, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AY2008 FL Primary

Addresses

Primary practice location

166 A1A N Ste 100
Ponte Vedra Beach, FL 32082-5701

Mailing address

750 N Commons Dr Ste 200
Aurora, IL 60504-7940
Phone (630) 303-5380

Other identifiers 1

IdentifierTypeStateIssuer
018741600MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160208000430 FL Practitioner - Qualified Audiologist 9931403243 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology Distribution, LLC CurrentSince Mar 28, 2025 Accepting new patients
Hearusa Inc Past Accepting new patients
Connect Hearing, Inc. Audiologist Past Accepting new patients

Locations

3251 Hollywood Blvd
Ste 424
Hollywood, FL 33021
Phone (954) 963-6305

800 E Merritt Island Cswy
Ste 104
Merritt Island, FL 32952
Phone (321) 735-4942

1665 Kingsley Ave
Ste 108
Orange Park, FL 32073
Phone (904) 579-3704

415 S Chickasaw Trl
Orlando, FL 32825
Phone (407) 264-7407

850 S Moody Rd
Ste 451
Palatka, FL 32177
Phone (386) 530-2528

250 Palm Coast Pkwy NE
Unit 901
Palm Coast, FL 32137
Phone (386) 225-4544

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1453248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615507200000",
    "number": "1942667068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 N COMMONS DR STE 200",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605047940",
            "telephone_number": "630-303-5380",
            "fax_number": "630-303-5385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 A1A N STE 100",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320825701",
            "telephone_number": "904-273-2232",
            "fax_number": "904-273-2219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUG",
        "first_name": "JONATHAN",
        "middle_name": "M",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-20",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY2008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018741600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponte Vedra Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2021; 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.