Individual provider Active NPI

Jeffrey William Worgul, M.S.

  • Audiologist-Hearing Aid Fitter
  • Waterford, CT
National Provider Identifier
1104964360
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
070 Issued in CT
Practice address
167 Parkway N
Waterford, CT 06385-1200
Phone
(860) 443-6944
Fax
(860) 442-7906
NPI assigned
Feb 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 070 CT
Audiologist-Hearing Aid Fitter 237600000X 070 CT Primary

Addresses

Primary practice location

167 Parkway N
Waterford, CT 06385-1200

Mailing address

167 Parkway N
Waterford, CT 06385-1200
Phone (860) 443-6944

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070501000609 CT Practitioner - Qualified Audiologist 2365405271 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
070CTMDAudiologist-Hearing Aid Fitter
000070CTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Shoreline Audiology, LLC Audiologist CurrentSince Jul 5, 2017 Accepting new patients
County Hearing and Balance, Inc. Audiologist PastSince Jul 1, 2007 Accepting new patients

Locations

495 Route 184
Ste 208
Groton, CT 06340
Phone (860) 445-7476

198 S Main St
Middletown, CT 06457
Phone (860) 301-9984

18 Oneco St
Ste 1
Norwich, CT 06360
Phone (860) 443-6944

18 Oneco St
Norwich, CT 06360
Phone (860) 230-8611

167 Waterford Parkway N
Waterford, CT 06385
Phone (800) 443-6944

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1104964360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 PARKWAY N",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063851200",
            "telephone_number": "860-443-6944",
            "fax_number": "860-442-7906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 PARKWAY N",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063851200",
            "telephone_number": "860-443-6944",
            "fax_number": "860-442-7906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORGUL",
        "first_name": "JEFFREY",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CT",
            "license": "070",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CT",
            "license": "070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.

Verify at the official NPI Registry.