DR. HALEY FULFORTH AU.D
NPI 1629554621
Audiologist in Philadelphia, PA
About Dr. Haley Fulforth Au.d NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. HALEY FULFORTH AU.D (NPI 1629554621) is an individual audiologist in Philadelphia, Pennsylvania, licensed in Pennsylvania (AT006575) and active in the NPI registry since July 2018.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Haley Fulforth Au.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Haley Fulforth reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Voorhees, NJ 08043
- Reassigned Medicare billing, New Jersey enrollment
- 4 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PHILADELPHIA, PA 19103
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Haley Fulforth's NPI number?
The NPI number for Haley Fulforth is 1629554621. It was assigned to this individual provider in the NPPES registry on July 13, 2018.
Where is Haley Fulforth located?
Haley Fulforth practices at 1650 Market St, Philadelphia, PA 19103. The listed phone number is (215) 514-0760.
What is Haley Fulforth's specialty?
The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.
Is Haley Fulforth enrolled in Medicare?
Yes. Haley Fulforth is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Haley Fulforth's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Haley Fulforth reassigns Medicare benefits to Hearing Associates, LLC (Voorhees, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Haley Fulforth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Haley Fulforth was last updated on January 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Haley Fulforth, AU.D · NPI 1629554621
Audiologist provider in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since July 13, 2018.
## Identity
- **NPI:** 1629554621 (Entity type: Individual)
- **Enumerated:** July 13, 2018
- **Primary specialty:** Audiologist · taxonomy 231H00000X
- **State license:** AT006575 (Pennsylvania)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1650 MARKET ST, Philadelphia, PA 19103-7301
- **Phone:** (215) 514-0760
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Hearing Associates, LLC (NPI 1700351459, Voorhees, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 26, 2024
- **Other identifiers:** Medicaid 1780016360 (PA)
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Source: [NPI Profile](https://npiprofile.com/npi/1629554621) · Data from the CMS NPPES public registry.