=====================================================
General NPI Number Information
=====================================================
NPI Number | 1285557744
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CLEAR AUDIOLOGY PROFESSIONAL LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/03/2026
-----------------------------------------------------
Last Update Date | 08/03/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 900 W MAIN ST STE 8
-----------------------------------------------------
City | FREEHOLD
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07728-2523
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 917-346-2213
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 8 SQUAN SONG LN
-----------------------------------------------------
City | COLTS NECK
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07722-1820
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 917-346-2213
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | AUDIOLOGIST
-----------------------------------------------------
Name | DR. ANNA V SHAPIRO
-----------------------------------------------------
Credential | AUD
-----------------------------------------------------
Telephone | 917-346-2213
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 231H00000X
-----------------------------------------------------
Taxonomy Name | Audiologist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------