Provider Demographics
NPI:1588822019
Name:MOSCARELLA, RALPH (MA, CCC-A)
Entity Type:Individual
Prefix:MR
First Name:RALPH
Middle Name:
Last Name:MOSCARELLA
Suffix:
Gender:M
Credentials:MA, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1984 SPRINGFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:MAPLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07040-3437
Mailing Address - Country:US
Mailing Address - Phone:973-275-1006
Mailing Address - Fax:973-275-1106
Practice Address - Street 1:1984 SPRINGFIELD AVE
Practice Address - Street 2:
Practice Address - City:MAPLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07040-3437
Practice Address - Country:US
Practice Address - Phone:973-275-1006
Practice Address - Fax:973-275-1106
Is Sole Proprietor?:No
Enumeration Date:2008-05-31
Last Update Date:2014-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY57-00201237600000X
NJ41YA00077200231H00000X
NJ25MG00126600237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologist