Provider Demographics
NPI:1710963954
Name:SCHAAL-SAMPSON, JENNIFER ANN (AUD)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:ANN
Last Name:SCHAAL-SAMPSON
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 MONMOUTH RD STE 2
Mailing Address - Street 2:
Mailing Address - City:OAKHURST
Mailing Address - State:NJ
Mailing Address - Zip Code:07755-1561
Mailing Address - Country:US
Mailing Address - Phone:732-517-1200
Mailing Address - Fax:732-663-0179
Practice Address - Street 1:220 MONMOUTH RD STE 2
Practice Address - Street 2:
Practice Address - City:OAKHURST
Practice Address - State:NJ
Practice Address - Zip Code:07755-1561
Practice Address - Country:US
Practice Address - Phone:732-517-1200
Practice Address - Fax:732-663-0179
Is Sole Proprietor?:No
Enumeration Date:2005-12-20
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YA00039900231H00000X
NJ25MG00073100237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ2369001Medicaid
NJ2369001Medicaid