Healthcare Provider Details
I. General information
NPI: 1427164847
Provider Name (Legal Business Name): MEI GAO AUD.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/21/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
706 FLORAL VALE BLVD
YARDLEY PA
19067-5529
US
IV. Provider business mailing address
706 FLORAL VALE BLVD
YARDLEY PA
19067-5529
US
V. Phone/Fax
- Phone: 215-497-5080
- Fax: 215-497-5019
- Phone: 215-497-5080
- Fax: 215-497-5019
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 231H00000X |
| Taxonomy | Audiologist |
| License Number | 41YA00058700 |
| License Number State | NJ |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 237600000X |
| Taxonomy | Audiologist-Hearing Aid Fitter |
| License Number | 25MG00090500 |
| License Number State | NJ |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 231H00000X |
| Taxonomy | Audiologist |
| License Number | AT006496 |
| License Number State | PA |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
| # 1 | |
| Identifier | 1378371002 |
| Identifier Type | OTHER |
| Identifier State | |
| Identifier Issuer | CIGNA |
| # 2 | |
| Identifier | 3117040 |
| Identifier Type | OTHER |
| Identifier State | |
| Identifier Issuer | AETNA |
| # 3 | |
| Identifier | 7547441 |
| Identifier Type | OTHER |
| Identifier State | |
| Identifier Issuer | AETNA |
| # 4 | |
| Identifier | 2214422000 |
| Identifier Type | OTHER |
| Identifier State | |
| Identifier Issuer | AMERIHEALTH |
| # 5 | |
| Identifier | P3518319 |
| Identifier Type | OTHER |
| Identifier State | |
| Identifier Issuer | OXFORD |
| # 6 | |
| Identifier | 001528592 |
| Identifier Type | OTHER |
| Identifier State | |
| Identifier Issuer | AMERIHEALTH |
| # 7 | |
| Identifier | 5080002 |
| Identifier Type | MEDICAID |
| Identifier State | NJ |
| Identifier Issuer | |
| # 8 | |
| Identifier | 2291692 |
| Identifier Type | OTHER |
| Identifier State | |
| Identifier Issuer | UNITED HEALTHCARE |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: