Active NPI
Maryna Mykhalova, AUD
- Audiologist
- Edison, NJ
National Provider Identifier
1972233013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 41YA00119600
- Practice address
- 1455 Route 1
Edison, NJ 08837-2418 - Phone
- (732) 549-7455
- NPI assigned
- Jun 13, 2022
- 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 | 41YA00119600 | NJ | Primary |
Addresses
Primary practice location
1455 Route 1
Edison, NJ 08837-2418
Mailing address
400 Dutch Neck Rd Apt I2
East Windsor, NJ 08520-1237
Phone (347) 301-1679
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Audiology Distribution, LLC | Current | Accepting new patients |
Locations
1455 US Highway 1
Edison, NJ 08837
Phone (732) 549-7455
1455 Route 1
Edison, NJ 08837
Phone (732) 549-7455
66 N Route 17
Paramus, NJ 07652
Phone (201) 291-0550
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655078400000",
"number": "1972233013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 DUTCH NECK RD APT I2",
"city": "EAST WINDSOR",
"state": "NJ",
"postal_code": "085201237",
"telephone_number": "347-301-1679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1455 ROUTE 1",
"city": "EDISON",
"state": "NJ",
"postal_code": "088372418",
"telephone_number": "732-549-7455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYKHALOVA",
"first_name": "MARYNA",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-13",
"last_updated": "2022-06-13",
"certification_date": "2022-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NJ",
"license": "41YA00119600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edison, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; 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.