Active NPIIndividual providerSole proprietor

Ms. Talia Gotlieb, MA, CCC-A

Audiologist in Fair Lawn, New Jersey

NPI Number1528094745
Practice location
13-19 River RD, Fair Lawn, NJ 07410-1837
Fax
201-703-6805
Last updated
July 2, 2014

Talia Gotlieb is an Audiologist based in Fair Lawn, NJ. Talia Gotlieb practices in Fair Lawn, NJ and has the professional credentials of MA, CCC-A. The NPI Number for Talia Gotlieb is 1528094745 and holds a License No. 41YA00002100 (NJ). The current practice location address for Talia Gotlieb is 13-19 River RD, Fair Lawn, NJ 07410-1837 and can be reached out via phone at 201-703-6800 and via fax at 201-703-6805.

Provider Profile Details

NPI Number
1528094745
Provider Name
Talia Gotlieb
Credential
MA, CCC-A
Provider Entity Type
Individual
Gender
Female
Address
13-19 River RD, Fair Lawn, NJ 07410-1837
Phone Number
201-703-6800
Fax Number
201-703-6805
Primary Taxonomy
Audiologist · 231H00000X
Sole Proprietor
Yes
Provider Enumeration Date
June 23, 2006
Last Update Date
July 2, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
13-19 River RD
Fair Lawn, NJ 07410-1837
Zip
07410-1837
Phone Number
201-703-6800
Fax Number
201-703-6805
Fair Lawn, NJ 07410Get directions →

Provider Business Mailing Address Details

Address
13-19 River RD
Fair Lawn, NJ 07410-1837
City
Fair Lawn
State
NJ
Zip
07410-1837
Phone Number
201-703-6800
Fax Number
201-703-6805

License Information

License Number (1)
41YA00002100
License State (1)
NJ
Taxonomy (1)
Audiologist · 231H00000X · Primary
License Number (2)
25MG00039200
License State (2)
NJ
Taxonomy (2)
Hearing Instrument Specialist · 237700000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Talia Gotlieb, MA, CCC-A?

The NPI number of Ms. Talia Gotlieb, MA, CCC-A is 1528094745. It was assigned on June 23, 2006 and is currently active in the NPPES registry.

What is the specialty of Ms. Talia Gotlieb, MA, CCC-A?

Ms. Talia Gotlieb, MA, CCC-A is registered under the primary taxonomy Audiologist (code 231H00000X), licensed in NJ under license number 41YA00002100.

Where does Ms. Talia Gotlieb, MA, CCC-A practice?

The practice location is 13-19 River RD, Fair Lawn, NJ 07410-1837. The office can be reached at 201-703-6800 (phone) or 201-703-6805 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1528094745 directly on the NPPES registry website.

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