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 | 237600000X | Audiologist-Hearing Aid Fitter | | 25MG00059100 | NEW JERSEY | No |
| 2 | 231H00000X | Audiologist | | 41YA00021100 | 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 | 223493078 | OTHER | NEW JERSEY | BLUE CROSS BLUE SHIELD |
| 2 | 2234930787-01 | OTHER | NEW JERSEY | HEALTHFIRST |
| 3 | OK7895 | OTHER | | HEALTHNET OF NEW JERSEY |
| 4 | 60015958 | OTHER | NEW JERSEY | HORIZON NJ HEALTH# FOR GROUP-SANFORD HEIGHTS HEARING CENTER |
| 5 | 2233090 | OTHER | NEW JERSEY | CIGNA |
| 6 | 10010490702 | OTHER | NEW JERSEY | UNITED HEALTHCARE COMMUNITY PLAN |
| 7 | 17996 | OTHER | | UNIVERSITY HEALTH |
| 8 | 223493078 | OTHER | | HORIZON NJ PLUS |
| 9 | 223493078 | OTHER | NEW JERSEY | TRICARE |
| 10 | 76308 | OTHER | | AETNA USHEALTHCARE |
| 11 | 223493078 | OTHER | NEW JERSEY | MAGNACARE |
| 12 | 1049047 | OTHER | | UNITED HEALTHCARE |
| 13 | 3909479000 | OTHER | NEW JERSEY | AMERIHEALTH |
| 14 | OK219158 | MEDICARE UPIN | | |
| 15 | 22794 | OTHER | | AMERIGROUP |
| 16 | 3263314 | OTHER | NEW JERSEY | GHI (EMBLEM HEALTH) EPO & PPO |
| 17 | ES000011801 | OTHER | | AMERICHOICE |
| 18 | 223493078 | OTHER | NEW JERSEY | MULTIPLAN |
| 19 | 60015959 | OTHER | NEW JERSEY | HORIZON NJ HEALTH |
| 20 | P-1119064 | OTHER | NEW JERSEY | OXFORD |
| 21 | 5352908 | MEDICAID | NEW JERSEY | |
