Active NPI
Joella Bova-Larham, AU.D
- Audiologist
- Manlius, NY
National Provider Identifier
1972832996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 57002276
- Practice address
- 240 W Seneca St Ste 8
Manlius, NY 13104-2539 - Phone
- (315) 329-6055
- NPI assigned
- Dec 22, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 and National Provider Directory roles.
-
- Hearing and Speech Clinic/Center
- Somerset, NJ
- NPI 1033585302
Audiologist, NY
-
- Hearing and Speech Clinic/Center
- Syracuse, NY
- NPI 1427530542
-
- Hearing and Speech Clinic/Center
- Melbourne, FL
- NPI 1902318108
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121211000046 | NY | Practitioner - Qualified Audiologist | 2062664428 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57002276 | NY | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Audiology Services Company USA, LLC | Audiologist | Current | Accepting new patients |
| Audiology Services Company USA, LLC | Current | Accepting new patients | |
| Audiology Services Company USA, LLC | Current | Accepting new patients |
Locations
2501 Cottontail Ln
Somerset, NJ 08873
Phone (732) 529-7120
240 W Seneca St
Ste 3
Manlius, NY 13104
Phone (315) 682-2025
106 W Utica St
Ste B
Oswego, NY 13126
Phone (315) 341-5873
1001 James St
Syracuse, NY 13203
Phone (315) 428-0016
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 57002276 | NY | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
240 W Seneca St Ste 8
Manlius, NY 13104-2539
Mailing address
240 W Seneca St Ste 8
Manlius, NY 13104-2539
Phone (315) 329-6055
Other names 1
NPPES NPI Registry- Joella Bova
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 26, 2024.
{
"created_epoch": "1261440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719360000000",
"number": "1972832996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 W SENECA ST STE 8",
"city": "MANLIUS",
"state": "NY",
"postal_code": "131042539",
"telephone_number": "315-329-6055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 W SENECA ST STE 8",
"city": "MANLIUS",
"state": "NY",
"postal_code": "131042539",
"telephone_number": "315-329-6055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOVA-LARHAM",
"first_name": "JOELLA",
"credential": "AU.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-12-22",
"last_updated": "2024-06-26",
"certification_date": "2024-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NY",
"license": "57002276",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JOELLA",
"last_name": "BOVA",
"credential": "AU.D",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Manlius, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; 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.