Individual provider Active NPI

Zelda Shleifer, AU.D., CCC-A

  • Audiologist
  • Waterbury, CT
National Provider Identifier
1265725584
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
000492 Issued in CT
Practice address
21 W Main St FL Place-3
Waterbury, CT 06702
Phone
(203) 574-3777
NPI assigned
May 19, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 000492 CT
Audiologist 231H00000X 000492 CT Primary

Addresses

Primary practice location

21 W Main St FL Place-3
Waterbury, CT 06702

Mailing address

1 Pomperaug Office Park Ste 204
Southbury, CT 06488-2295
Phone (203) 264-2909

Other practice location 1

1 Pomperaug Office Park Ste 204
Southbury, CT 06488-2295
Phone (203) 264-2909

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

LicenseStateTypeSpecialty
000492CTMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Ear, Nose & Throat, Sinus & Allergy Specialists, P.C. Audiologist CurrentSince Mar 26, 2018 Accepting new patients

Locations

1 Pomperaug Office Park
Ste 204
Southbury, CT 06488
Phone (203) 264-2909

21 W Main St
Fl 1
Waterbury, CT 06702
Phone (203) 574-3777

21 W Main St
Bldg 3RD
Waterbury, CT 06702
Phone (203) 574-3777

21 W Main St
Fl 3
Waterbury, CT 06702
Phone (203) 574-3777

Organizations & group practices 1

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": "1305763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529452800000",
    "number": "1265725584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 POMPERAUG OFFICE PARK STE 204",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064882295",
            "telephone_number": "203-264-2909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 W MAIN ST FL PLACE-3",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "06702",
            "telephone_number": "203-574-3777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Pomperaug Office Park Ste 204",
            "address_purpose": "LOCATION",
            "city": "Southbury",
            "state": "CT",
            "postal_code": "064882295",
            "country_code": "US",
            "telephone_number": "203-264-2909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHLEIFER",
        "first_name": "ZELDA",
        "name_prefix": "Dr.",
        "credential": "AU.D., CCC-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-19",
        "last_updated": "2018-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CT",
            "license": "000492",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CT",
            "license": "000492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; 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.