Active NPI
Faith Marlene Mogila, SCD
- Audiologist
- Somerset, NJ
National Provider Identifier
1962675132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 719
- Practice address
- 37 Clyde Rd
Suite 103
Somerset, NJ 08873-5034 - Phone
- (732) 873-6863
- Fax
- (732) 873-6853
- NPI assigned
- Apr 9, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 719 | NJ | Primary |
Addresses
Primary practice location
37 Clyde Rd
Suite 103
Somerset, NJ 08873-5034
Mailing address
372 Aldeburgh Ave
Somerset, NJ 08873-4869
Phone (732) 302-0039
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 719 | NJ | MD | Audiologist |
Organizations & group practices 1
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.
-
dba Montclair State Clinical Services Group
- Clinic/Center
- Montclair, NJ
- NPI 1902346877
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251072000000",
"number": "1962675132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "372 ALDEBURGH AVE",
"city": "SOMERSET",
"state": "NJ",
"postal_code": "088734869",
"telephone_number": "732-302-0039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 CLYDE RD",
"address_2": "SUITE 103",
"city": "SOMERSET",
"state": "NJ",
"postal_code": "088735034",
"telephone_number": "732-873-6863",
"fax_number": "732-873-6853"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOGILA",
"first_name": "FAITH",
"middle_name": "MARLENE",
"name_prefix": "Dr.",
"credential": "SCD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-09",
"last_updated": "2009-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NJ",
"license": "719",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Somerset, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2009; 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.