Individual provider Active NPI

Jorge Spencer Zavala, AU.D.

  • Audiologist-Hearing Aid Fitter
  • Norristown, PA
National Provider Identifier
1962408609
Registry record updated Jun 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
AT006195 Issued in PA
Practice address
710 E Johnson Hwy
Norristown, PA 19401-3110
Phone
(610) 277-3336
Fax
(610) 277-8255
NPI assigned
Jun 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AT006195 PA
Audiologist-Hearing Aid Fitter 237600000X AT006195 PA Primary

Addresses

Primary practice location

710 E Johnson Hwy
Norristown, PA 19401-3110

Mailing address

917 Jenifer Rd
Horsham, PA 19044-1021
Phone (646) 351-3686

Organizations & group practices 4

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.

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jorge S. Zavala, Au.D., Inc. 2 clinicians

Practice addresses (Care Compare)

710 E Johnson Hwy
Norristown, PA 19401-3110
Phone (610) 277-3336

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120119000249 PA Practitioner - Qualified Audiologist 5991881831 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AT006195PAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Jorge S. Zavala, Au.D., Inc. Audiologist-Hearing Aid Fitter Current Accepting new patients
Audiology Services Company USA, LLC Audiologist Past Accepting new patients
Trustees of Columbia University in the Department of Otolaryngology PastSince Sep 1, 2015 Accepting new patients
Rem Audiology Associates, P.C. Audiologist Past Accepting new patients

Locations

750 E Johnson Hwy
Norristown, PA 19401
Phone (610) 277-3336

710 E Johnson Hwy
Norristown, PA 19401
Phone (610) 275-5599

NPI Registry JSON

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655424000000",
    "number": "1962408609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 JENIFER RD",
            "city": "HORSHAM",
            "state": "PA",
            "postal_code": "190441021",
            "telephone_number": "646-351-3686",
            "fax_number": "610-277-8255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 E JOHNSON HWY",
            "city": "NORRISTOWN",
            "state": "PA",
            "postal_code": "194013110",
            "telephone_number": "610-277-3336",
            "fax_number": "610-277-8255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAVALA",
        "first_name": "JORGE",
        "middle_name": "SPENCER",
        "name_prefix": "Mr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "PA",
            "license": "AT006195",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "PA",
            "license": "AT006195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norristown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2022; 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.