Individual provider Active NPI

Alexander E. Malyarovich, SC.D

  • Audiologist
  • Newton, NJ
National Provider Identifier
1962835470
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
41YA00085900 Issued in NJ
Practice address
39 Newton Sparta Rd Ste 1C
Newton, NJ 07860-2773
Phone
(973) 383-4100
Fax
(973) 383-4104
NPI assigned
Aug 20, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 41YA00085900 NJ Primary

Addresses

Primary practice location

39 Newton Sparta Rd Ste 1C
Newton, NJ 07860-2773

Mailing address

39 Newton Sparta Rd Ste 1C
Newton, NJ 07860-2773
Phone (973) 383-4100

Other practice location 1

216 Engle St Ste 101
Englewood, NJ 07631-2428
Phone (201) 816-9800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150114000154 NJ Practitioner - Qualified Audiologist 3971827338 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Audiology Services of NJ LLCGroup PAC ID 2961861570, 3 clinicians

Practice addresses (Care Compare)

39 Newton Sparta Rd
Suite 1C
Newton, NJ 07860-2773
Phone (973) 383-4100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
41YA00085900NJMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sussex Audiology Services and Hearing Aid Center, LLC Audiologist CurrentSince Mar 18, 2023 Accepting new patients
Audiology Services of NJ LLC Audiologist CurrentSince Mar 18, 2023 Accepting new patients
Audiology Consultants LLC Audiologist Current Accepting new patients
Englewood Ear Nose & Throat PC CurrentSince Dec 21, 2015 Accepting new patients
Anthony F. Jahn,M.D.,PA PastSince Dec 21, 2015 Accepting new patients

Locations

216 Engle St
Ste 101
Englewood, NJ 07631
Phone (201) 816-9800

39 Newton Sparta Rd
Ste 1C
Newton, NJ 07860
Phone (973) 383-4100

Organizations & group practices 5

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": "1376956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1962835470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 NEWTON SPARTA RD STE 1C",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078602773",
            "telephone_number": "973-383-4100",
            "fax_number": "973-383-4104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 NEWTON SPARTA RD STE 1C",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078602773",
            "telephone_number": "973-383-4100",
            "fax_number": "973-383-4104"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "216 Engle St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "NJ",
            "postal_code": "076312428",
            "country_code": "US",
            "telephone_number": "201-816-9800",
            "fax_number": "201-567-1569",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALYAROVICH",
        "first_name": "ALEXANDER",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "SC.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-20",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NJ",
            "license": "41YA00085900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; 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.