Healthcare Provider Details

I. General information

NPI: 1285557744
Provider Name (Legal Business Name): CLEAR AUDIOLOGY PROFFESSIONAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 W MAIN ST STE 8
FREEHOLD NJ
07728-2523
US

IV. Provider business mailing address

8 SQUAN SONG LN
COLTS NECK NJ
07722-1820
US

V. Phone/Fax

Practice location:
  • Phone: 917-346-2213
  • Fax:
Mailing address:
  • Phone: 917-346-2213
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State

VIII. Authorized Official

Name: DR. ANNA V SHAPIRO
Title or Position: AUDIOLOGIST
Credential: AUD
Phone: 917-346-2213