DR. KENNETH ALAN BODKIN (AU.D.) – Audiologist, NPI 1427199140

DR. KENNETH ALAN BODKIN (AU.D.) is a healthcare provider. based in Hackensack, New Jersey. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials AU.D.. They hold a License No. 1552 (NY). The NPI Number for DR. KENNETH ALAN BODKIN (AU.D.) is 1427199140

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. KENNETH ALAN BODKIN (AU.D.)
NPI
1427199140
Phone
(201) 996-5126
Address
20 PROSPECT AVE
Enumeration Date
8 February 2007
Last Update Date
21 August 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2018204110
Graduation Year
2000 (26 years ago)
PAC ID
9638236276
Group Practice PAC ID
7214094846
Professional Enrollment ID
I20090325000631
Address ID
NJ076011974HA20XXXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness75
Years active:19State licenses:3Digital endpointsOther names

226 QUALIFIED AUDIOLOGIST in NJ

Provider Addresses for DR. KENNETH ALAN BODKIN (AU.D.)

  • 20 PROSPECT AVE

    SUITE 808

    HACKENSACK, NJ 076011997

    Phone: (201) 996-5126

    Fax: (201) 996-0557

    Type: Mailing

  • 30 PROSPECT AVE.

    DEPT. OF AUDIOLOGY

    HACKENSACK, NJ 07601

    Phone: (201) 996-5126

    Fax: (201) 996-0557

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-03-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090325000631IQualified AudiologistNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 07601)

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Provider's Procedures

DR. KENNETH ALAN BODKIN (AU.D.) performs procedures in QUALIFIED AUDIOLOGIST. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
QUALIFIED AUDIOLOGISTNJ92567Eardrum testing using ear probe9190

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7214094846View full group profile
NameSpecialtyState
Qualified AudiologistNJ
Qualified AudiologistNJ
Qualified AudiologistNJ

Reviews

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Frequently asked questions

Can I verify DR. KENNETH ALAN BODKIN (AU.D.) with an NPI only?
You can start verification with NPI 1427199140 for DR. KENNETH ALAN BODKIN (AU.D.), then check state licensing separately.
Can I rely on DR. KENNETH ALAN BODKIN (AU.D.) being an active provider?
As of the registry snapshot, DR. KENNETH ALAN BODKIN (AU.D.) is marked active.
What healthcare role does DR. KENNETH ALAN BODKIN (AU.D.) hold?
Scheduling teams often label DR. KENNETH ALAN BODKIN (AU.D.) under Audiologist. Clinical services aligned with this taxonomy classification.
What area does DR. KENNETH ALAN BODKIN (AU.D.) serve?
DR. KENNETH ALAN BODKIN (AU.D.)'s listing highlights Hackensack, New Jersey; more addresses can appear in NPPES.
Is the information about DR. KENNETH ALAN BODKIN (AU.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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