Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 231H00000X | Audiologist | | 809 | NEW JERSEY | No |
| 2 | 231H00000X | Audiologist | | 967L | PENNSYLVANIA | No |
| 3 | 231HA2400X | Audiologist | Assistive Technology Practitioner | 496 | PENNSYLVANIA | No |
| 4 | 231HA2400X | Audiologist | Assistive Technology Practitioner | 547 | NEW JERSEY | No |
| 5 | 231HA2500X | Audiologist | Assistive Technology Supplier | 496 | PENNSYLVANIA | No |
| 6 | 231HA2500X | Audiologist | Assistive Technology Supplier | 547 | NEW JERSEY | No |
| 7 | 237600000X | Audiologist-Hearing Aid Fitter | | 496 | PENNSYLVANIA | No |
| 8 | 237600000X | Audiologist-Hearing Aid Fitter | | 547 | NEW JERSEY | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 0865737000 | OTHER | NEW JERSEY | KEYSTONE HEALTH PLAN EAST |
| 2 | 1124072665 | OTHER | | GROUP NPI# |
| 3 | 0865737000 | OTHER | NEW JERSEY | AMERIHEALTH |
| 4 | 01425249 | MEDICAID | PENNSYLVANIA | |
| 5 | 16939 | OTHER | PENNSYLVANIA | HEALTH PARTNERS |
| 6 | 283103 | OTHER | PENNSYLVANIA | BLUE CROSS BLUE SHIELD |
| 7 | 0865737000 | OTHER | PENNSYLVANIA | KEUSTONE HEALTH PLAN EAST |
| 8 | 0865737000 | OTHER | PENNSYLVANIA | AMERIHEALTH |
| 9 | 283103 | OTHER | PENNSYLVANIA | PERSONAL CHOICE |
| 10 | 1029608 | OTHER | PENNSYLVANIA | KEYSTONE MERCY |
| 11 | 283013 | OTHER | NEW JERSEY | BLUE CROSS BLUE SHIELD |
| 12 | 0088676 | MEDICAID | NEW JERSEY | |
| 13 | 23165 | OTHER | PENNSYLVANIA | AETNA |
| 14 | 23165 | OTHER | NEW JERSEY | AETNA |
| 15 | 283013 | OTHER | NEW JERSEY | PERSONAL CHOICE |
