Elizabeth Marie Waldron

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

25MG00134600 Issued in NJ

Practice address

653 Rte 46 W Ste 3
Fairfield, NJ 07004-1595

Phone

(973) 227-0750

NPI assigned

Mar 20, 2020

Last updated

Mar 20, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Universal Hearing LLC

  dba Miracle Ear

  • Hearing Aid Equipment
  • Rockaway, NJ
  • NPI 1558615542
  NPD (past)

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

{
    "created_epoch": "1584662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584662400000",
    "number": "1114553237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "653 RTE 46 W STE 3",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070041595",
            "telephone_number": "973-227-0750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "653 RTE 46 W STE 3",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070041595",
            "telephone_number": "973-227-0750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Enterprise Dr Unit 230",
            "address_purpose": "LOCATION",
            "city": "Rockaway",
            "state": "NJ",
            "postal_code": "078662184",
            "country_code": "US",
            "telephone_number": "973-989-5722",
            "fax_number": "973-989-5723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALDRON",
        "first_name": "ELIZABETH",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-20",
        "last_updated": "2020-03-20",
        "certification_date": "2020-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "NJ",
            "license": "25MG00134600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "FairfieldNJ@frasierenterprises.com",
            "affiliation": "N",
            "endpointDescription": "Office Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "653 Rte 46 W Ste 3",
            "city": "Fairfield",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070041595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Samuel Thomas Voghell
• Carly Ann Waldman
• Walgreen Co. (Walgreens #13702)
• Michele Walicky, LSW
• Samantha Ward
• Braelin Watson
• Tra'Chaun Wells

• Hearing Instrument Specialist in Fairfield, NJ
• Providers in Fairfield, NJ by specialty
• Hearing Instrument Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.