Provider Demographics
NPI:1124072665
Name:REM AUDIOLOGY ASSOCIATES, P.C.
Entity type:Organization
Organization Name:REM AUDIOLOGY ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:PATTERSON
Authorized Official - Suffix:
Authorized Official - Credentials:MS,CCC-A
Authorized Official - Phone:215-535-5598
Mailing Address - Street 1:50 BATTERY HILL DR
Mailing Address - Street 2:
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-4200
Mailing Address - Country:US
Mailing Address - Phone:215-535-5598
Mailing Address - Fax:215-533-1420
Practice Address - Street 1:8100 ROOSEVELT BLVD
Practice Address - Street 2:SUITE 202
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19152-2900
Practice Address - Country:US
Practice Address - Phone:215-535-5598
Practice Address - Fax:215-331-4208
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-20
Last Update Date:2012-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ128231H00000X
PA285L231H00000X
PA496237600000X, 231HA2400X, 231HA2500X, 332S00000X
NJ547231HA2400X, 231HA2500X, 332S00000X, 237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
No231HA2400XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology PractitionerGroup - Single Specialty
No231HA2500XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology SupplierGroup - Single Specialty
No332S00000XSuppliersHearing Aid EquipmentGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0088676Medicaid
PA16939OtherHEALTH PARTNERS
NJ23165OtherAETNA
PA1029608OtherKEYSTONE MERCY
PA283103OtherPERSONAL CHOICE
PA0865737000OtherAMERIHEALTH
PA0865737000OtherKEYSTONE HEALTH PLAN EAST
PA283103OtherBLUE CROSS BLUE SHIELD
PA01425249Medicaid
NJ0865737000OtherAMERIHEALTH
PA23165OtherAETNA
NJ283103OtherBLUE CROSS BLUESHIELD
NJ283103OtherPERSONAL CHOICE
NJ=========OtherUNITED HEALTH CARE
PA0865737000OtherKEYSTONE HEALTH PLAN EAST
PA1029608OtherKEYSTONE MERCY
PA23165OtherAETNA
NJ=========OtherTRICARE
PA1029608OtherKEYSTONE MERCY
PA283103Medicare ID - Type Unspecified