Individual provider Active NPI

Jennifer Frieda Srour

  • Audiologist
  • Brooklyn, NY
National Provider Identifier
1275833089
Registry record updated Sep 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
0024431 Issued in NY
Practice address
9015 5TH Avenue
Lower Level
Brooklyn, NY 11209-2404
Phone
(718) 833-5867
NPI assigned
Oct 26, 2010
Last updated
Sep 8, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 0024431 NY Primary

Addresses

Primary practice location

9015 5TH Avenue
Lower Level
Brooklyn, NY 11209-2404

Mailing address

9015 5TH Avenue
Lower Level
Brooklyn, NY 11209-2404
Phone (718) 833-5867

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160928000021 NY Practitioner - Qualified Audiologist 8729375233 Reassigns benefits to 1 organization
I20181108001941 NJ Practitioner - Qualified Audiologist 8729375233 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1310 Ave R
Apt 7L
Brooklyn, NY 11229-2836
Phone (718) 833-5867

17 Clinton Ave
Eatontown, NJ 07724-1304
Phone (347) 695-6309

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024431NYMDMental Health Counselor
002443NYMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Jennifer F Srour Audiology PC Audiologist CurrentSince Oct 1, 2021 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1288051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473292800000",
    "number": "1275833089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9015 5TH AVENUE",
            "address_2": "LOWER LEVEL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112092404",
            "telephone_number": "718-833-5867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9015 5TH AVENUE",
            "address_2": "LOWER LEVEL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112092404",
            "telephone_number": "718-833-5867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SROUR",
        "first_name": "JENNIFER",
        "middle_name": "FRIEDA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-26",
        "last_updated": "2016-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "0024431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2016; 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.