Individual
MS. ELIZABETH MOORE CHIUSANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., CCC-A
Contact information
Practice address
39 NEWTON SPARTA RD STE 1C, NEWTON, NJ 07860-2773
(973) 383-4100
(973) 383-4104
Mailing address
20 GOODALE RD, NEWTON, NJ 07860-2782
(973) 579-3791
(973) 579-3984
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
41YA00061500
NJ
237600000X
Audiologist-Hearing Aid Fitter
25MG00097400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2203928
UNITED HEALTHCARE ID
NJ
01
—
421530924
HORIZON BCBS PROVIDER ID
NJ
01
—
7684348
AETNA PROVIDER ID
NJ
01
—
804073
HEALTH NETWORK AMERICA ID
NJ
01
—
P2593832
OXFORD PROVIDER ID
NJ
Enumeration date
10/14/2005
Last updated
07/21/2022
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