Active NPI
Sue Ellen F. Boyer, AUD
- Audiologist
- Lakewood, NJ
National Provider Identifier
1033104138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 41YA00046700
- Practice address
- 500 River Avenue
Lakewood, NJ 08701-0723 - Phone
- (732) 942-5900
- NPI assigned
- Sep 14, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 41YA00046700 | NJ | Primary |
Addresses
Primary practice location
500 River Avenue
Lakewood, NJ 08701-0723
Mailing address
9 Capstan Street
Barnegat, NJ 08005-1629
Phone (609) 607-0037
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41YA00046700 | NJ | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236211200000",
"number": "1033104138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 CAPSTAN STREET",
"city": "BARNEGAT",
"state": "NJ",
"postal_code": "080051629",
"telephone_number": "609-607-0037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 RIVER AVENUE",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087010723",
"telephone_number": "732-942-5900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYER",
"first_name": "SUE ELLEN",
"middle_name": "F.",
"name_prefix": "Dr.",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-14",
"last_updated": "2009-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NJ",
"license": "41YA00046700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.