Jael Russell, AUD

Primary specialty

AudiologistTaxonomy code 231H00000X

Practice address

238B Tolland Tpke
Manchester, CT 06042-5701

Phone

(860) 643-2719

Fax

(860) 643-2719

NPI assigned

Jul 30, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mobile Audiology Associates PCGroup PAC ID 3678465283, 26 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mobile Audiology Associates, P.C.

  • Audiologist
  • Middletown, CT
  • NPI 1669403002
  Medicare reassignment Care Compare group NPD
• Mobile Audiology Associates, P.C.

  • Audiologist
  • Framingham, MA
  • NPI 1689601130
  NPD

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

{
    "created_epoch": "1438214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583366400000",
    "number": "1235514365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238B TOLLAND TPKE",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060425701",
            "telephone_number": "860-643-2719",
            "fax_number": "860-643-2719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238B TOLLAND TPKE",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060425701",
            "telephone_number": "860-643-2719",
            "fax_number": "860-643-2719"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "724 Main St Unit G",
            "address_purpose": "LOCATION",
            "city": "Hyannis",
            "state": "MA",
            "postal_code": "02601",
            "country_code": "US",
            "telephone_number": "508-771-1199",
            "fax_number": "508-771-1140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "JAEL",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-30",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anylen Ruiz Ayala, APRN
• Nadia Ruiz
• Nuriye Rumeli
• Erica M Rusczyk
• Bryce Russell
• Kristin Russell
• Vanessa Edythe Russo, OTR/L
• Patricia Sabia
• Faraz Mohammad Sabir, PA-C
• Zeenat Safiullah, LCSW-C

• Audiologist in Manchester, CT
• Providers in Manchester, CT by specialty
• Audiologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.