MR. LARRY JAY DENENBERG (NPI# 1003991993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003991993 |
| Entity Type | Individual |
| Full Name | MR. LARRY JAY DENENBERG |
| Credential | MA CCC A |
| Practice Address |
500 Old York Rd Ste 104 Jenkintown PA 19046 |
| Practice Telephone | 2158862268 |
| Practice Fax Number | 2158866016 |
| Mailing Telephone | 2158862268 |
| Mailing Fax Number | 2158866016 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2010-03-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | AT000357L | PA | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AETNA | 0928241 | 01 |
| Street Address |
500 OLD YORK RD STE 104 |
| City | JENKINTOWN |
| State | PA |
| Zip Code | 19046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134122286 | Tracey Roesing | Family Medicine | 500 Old York Rd, Suite #108, Jenkintown, PA 19046-2852 | 2005-05-23 |
| 1265060909 | Victoria Persampiere | Student in an Organized Health Care Education/Training Program | 500 Old York Rd, #108, Jenkintown, PA 19046 | 2020-03-30 |
| 1952681637 | Lindsay Fox Good | Nurse Practitioner | 500 Old York Rd, #100, Jenkintown, PA 19046 | 2011-08-25 |
| 1982864328 | Meera Shah | Family Medicine | 500 Old York Rd, Jenkintown, PA 19046-2852 | 2008-06-10 |
| 1952560583 | Stacey Parker-johnson | Family Medicine | 500 Old York Rd, Suite 108, Jenkintown, PA 19046-2852 | 2008-06-09 |
| 1023204534 | Jason Michael Shackelford | Internal Medicine | 500 Old York Rd, Suite 203, Jenkintown, PA 19046-2852 | 2007-09-18 |
| 1023202157 | Bryan Daniel O'connell | Internal Medicine | 500 Old York Rd, Suite 203, Jenkintown, PA 19046-2852 | 2007-08-31 |
| 1396938205 | Ruiping Song | Internal Medicine | 500 Old York Rd, Suite 203, Jenkintown, PA 19046-2852 | 2007-08-23 |
| 1720127947 | Samina Seraj | Internal Medicine | 500 Old York Rd, Suite 203, Jenkintown, PA 19046-2852 | 2007-02-05 |
| 1902996309 | Andres Botero | Internal Medicine | 500 Old York Rd, Suite 203, Jenkintown, PA 19046-2852 | 2006-10-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083279061 | Yves Rose Josselin | In Home Supportive Care | 610 Old Yord Road, Suite 400, Jenkintown, PA 19046 | 2019-05-06 |
| 1942790498 | Elizabeth Collins Cook | Counselor | 501 Old York Rd Unit 4, Jenkintown, PA 19046 | 2018-05-10 |
| 1013407568 | Samuel Albert | Counselor | 501 York Rd Unit 4 Renew Family Services LLC, Jenkintown, PA 19046 | 2018-05-10 |
| 1275050841 | Khristina Tylo | Home Health Aide | 1653 The Fairway St, Jenkintown, PA 19046 | 2017-08-24 |
| 1073053898 | Jennifer Nicole Romania | Physician Assistant | 500 Old York Road, Suite 201, Jenkintown, PA 19046 | 2017-02-27 |
| 1790159648 | Crystina Kaylin Cave | Physician Assistant | Holy Redeemer Hospital, 1648 Huntingdon Pike, Huntingdon Valley, PA 19046 | 2015-11-16 |
| 1790112225 | Jerry H Herman | Obstetrics & Gynecology | 906 Frog Hollow Terrace, Rydal, PA 19046 | 2013-09-30 |
| 1861828774 | Christopher T Flood | Physical Therapist | 676 Old York Road, Jenkintown, PA 19046 | 2013-09-24 |
| 1013251420 | Ann K Lodovichetti | Physical Medicine & Rehabilitation | 1616 Hungtindon Pike, Meadowbrook, PA 19046 | 2012-11-26 |
| 1689941916 | Sandra H. Kosmin | Social Worker | 114 Forrest Avenue, Suite 2, Narberth, PA 19046 | 2011-12-01 |
| Find all providers in zip 19046 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275916421 | Kim Loan Huynh | Audiologist | 261 Old York Rd Ste 215, Jenkintown, PA 19046-3724 | 2015-07-07 |
| 1639360480 | Mindy Staller | Audiologist | 500 Old York Rd., Jenkintown, PA 19046 | 2007-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871100461 | Cecilia Mercedes Lacey | Audiologist | 5823 Glen Hill Dr, Bethel Park, PA 15102-2431 | 2020-09-28 |
| 1982216958 | Rachel Catherine Smith Labarge | Audiologist | 209 Bamboo Dr, Lansdale, PA 19446-3863 | 2020-08-20 |
| 1477170918 | Jordan Hannold | Audiologist | 425 N 21st St Ste 301, Camp Hill, PA 17011-2223 | 2020-07-01 |
| 1083231047 | Madison Eskew | Audiologist | 4400 Old William Penn Hwy Ste 208, Monroeville, PA 15146-1480 | 2020-06-25 |
| 1497379234 | Brooke Ann Jamgochian | Audiologist | 230 Sugartown Rd Ste 10, Wayne, PA 19087-3071 | 2020-06-07 |
| 1164045001 | Rebecca Penaranda | Audiologist | 1245 Highland Ave Ste 502, Abington, PA 19001-3726 | 2020-05-27 |
| 1164054219 | Phyllis Lee Cohen | Audiologist | 1098 W Baltimore Pike Ste 3406, Media, PA 19063-5139 | 2020-02-06 |
| 1972143873 | Dgn Ventures | Audiologist | 166 S Main St Ste 3, Chambersburg, PA 17201-2500 | 2020-01-09 |
| 1043856727 | Linh Thi Nguyen | Audiologist | 3501 W Chester Pike Ste 101, Newtown Square, PA 19073-3707 | 2019-11-18 |
| 1447894431 | Stinson Audiology Services LLC | Audiologist | 1809 29th St Sw, Allentown, PA 18103-6403 | 2019-11-01 |
| Find all providers with the same taxonomy | ||||
| City | JENKINTOWN |
| Zip Code | 19046 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.