Active NPI
Dr Jennifer F Srour Audiology PC
- Audiologist
- Brooklyn, NY
National Provider Identifier
1073277489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- Legal business name
- DR JENNIFER F SROUR AUDIOLOGY PC
- Practice address
- 1310 Avenue R Apt 7L
Brooklyn, NY 11229-2836 - Phone
- (718) 833-5867
- NPI assigned
- Oct 22, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer F Srour, AUD
- Title
- Owner
- Phone
- (718) 833-5867
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | Primary |
Addresses
Primary practice location
1310 Avenue R Apt 7L
Brooklyn, NY 11229-2836
Mailing address
1310 Avenue R Apt 7L
Brooklyn, NY 11229-2836
Phone (718) 833-5867
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220124001684 | NY | Part B Supplier - Clinic/Group Practice | 5193117216 |
Receives reassigned benefits from 1 practitioner Practice locations: Brooklyn, NY |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Audiologist
- Brooklyn, NY
- NPI 1275833089
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634860800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1634860800000",
"number": "1073277489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1310 AVENUE R APT 7L",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112292836",
"telephone_number": "718-833-5867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 AVENUE R APT 7L",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112292836",
"telephone_number": "718-833-5867"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR JENNIFER F SROUR AUDIOLOGY PC",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-22",
"last_updated": "2021-10-22",
"certification_date": "2021-10-22",
"status": "A",
"authorized_official_last_name": "SROUR",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "718-833-5867",
"authorized_official_credential": "AUD"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Audiologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.