CRYSTAL MARIE OTERO (NPI# 1235664855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235664855 |
| Entity Type | Individual |
| Full Name | CRYSTAL MARIE OTERO |
| Credential | HIS |
| Practice Address |
1021 Main St River Edge NJ 07661-2011 |
| Practice Telephone | 2012910550 |
| Practice Fax Number | 2014887900 |
| Mailing Telephone | 2012910550 |
| Mailing Fax Number | 2014887900 |
| Enumeration Date | 2017-04-21 |
| Last Update Date | 2017-04-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 237700000X | Hearing Instrument Specialist | 25MG00133000 | NJ | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114493103 | Crystal Otero | Social Worker | 180 North St, Auburn, NY 13021-1811 | 2018-10-17 |
| Street Address |
1021 MAIN ST |
| City | RIVER EDGE |
| State | NJ |
| Zip Code | 07661-2011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609395235 | Audiology Distribution, LLC | Audiologist-Hearing Aid Fitter | 1021 Main St, River Edge, NJ 07661-2011 | 2017-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083005151 | Dongwuk Shin | Internal Medicine | 130 Kinderkamack Rd., River Edge, NJ 07661 | 2015-02-11 |
| 1093057861 | Faina Ratner | Registered Nurse | 168 Oxford Ter, Apt # 1, River Edge, NJ 07661 | 2013-03-20 |
| 1700077674 | William Peter Kalosieh | Marriage & Family Therapist | 739 Summit Ave, River Edge, NJ 07661 | 2007-08-06 |
| 1124220959 | Angela's Angels Home Health Agency | Home Health | 912 Kinderkamack Road, Suite 6, River Edge, NJ 07661 | 2007-06-04 |
| 1780801258 | James A Ruggiero | Dentist | 110 Kinderkamack Road, River Edge, NJ 07661 | 2007-04-19 |
| 1174608178 | Jay Paul Granat | Psychologist | 1060 Main Street, Suite 307, River Edge, NJ 07661 | 2006-10-26 |
| 1912967464 | Theodore Falk | Allergy & Immunology | 63 Grand Ave, Ste 100, River Edge, NJ 07661 | 2006-03-27 |
| 1386149870 | Sharyn Zisa | Social Worker | 1060 Main St Ste 303, River Edge, NJ 07661 | 2018-03-27 |
| 1760654776 | Mark David Chapman | Social Worker | 117 Kinderkamack Rd, 2nd Floor, River Edge, NJ 07661 | 2008-03-31 |
| 1861697286 | Loren M Gelberg-goff | Social Worker | 200 Oak Ave, River Edge, NJ 07661-1028 | 2007-06-16 |
| Find all providers in zip 07661 | ||||
| Taxonomy Code | 237700000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Hearing Instrument Specialist |
| Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205437829 | Michael Gatto | Hearing Instrument Specialist | 2791 Hooper Ave, Brick, NJ 08723 | 2020-11-02 |
| 1770183170 | Jacqueline Krimm | Hearing Instrument Specialist | 3117 Route 38, Mount Laurel, NJ 08054-9752 | 2020-10-27 |
| 1649879453 | Duane Hunt | Hearing Instrument Specialist | 2005 Route 35, Oakhurst, NJ 07755-2761 | 2020-10-22 |
| 1134728173 | Shane Veight | Hearing Instrument Specialist | 201 Applegarth Rd, Monroe Township, NJ 08831-3753 | 2020-10-21 |
| 1144859570 | George Theofan | Hearing Instrument Specialist | 1 Sears Dr Ste 201, Paramus, NJ 07652-3510 | 2020-04-07 |
| 1396372413 | Shane J Hellhake | Hearing Instrument Specialist | 285 Route 18 Ste A, East Brunswick, NJ 08816-1900 | 2020-03-26 |
| 1114553237 | Elizabeth Marie Waldron | Hearing Instrument Specialist | 653 Rte 46 W Ste 3, Fairfield, NJ 07004-1595 | 2020-03-20 |
| 1215563416 | John Mena | Hearing Instrument Specialist | 179 Cedar Ln Ste D2, Teaneck, NJ 07666-4304 | 2020-03-19 |
| 1942836143 | Holly Byrne | Hearing Instrument Specialist | 90 Us Highway 206 # 150, Stanhope, NJ 07874-3128 | 2020-03-19 |
| 1396381869 | Eric M Robertshaw | Hearing Instrument Specialist | 730 Jamaica Blvd Ste 12, Toms River, NJ 08757-3758 | 2019-11-20 |
| Find all providers with the same taxonomy | ||||
| City | RIVER EDGE |
| Zip Code | 07661 |
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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.