Active NPI
Elliot Zacharowicz
- Audiologist
- Denville, NJ
National Provider Identifier
1306527957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 41YA00126700
- Practice address
- 92 Broadway
Denville, NJ 07834-2761 - Phone
- (973) 627-0009
- NPI assigned
- Jul 27, 2023
- Last updated
- Jul 27, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 003186 | NY | |
| Audiologist | 231H00000X | 41YA00126700 | NJ | Primary |
Addresses
Primary practice location
92 Broadway
Denville, NJ 07834-2761
Mailing address
92 Broadway
Denville, NJ 07834-2761
Phone (973) 627-0009
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1211 Hamburg Tpke
Suite 205
Wayne, NJ 07470-5056
Phone (973) 633-0808
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003186 | NY | MD | Urology Physician |
| 41YA00126700 | NJ | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ENT and Allergy Associates LLP | Current | Accepting new patients | |
| Audiology Services Company USA, LLC | Past | Accepting new patients |
Locations
1211 Hamburg Tpke
Ste 205
Wayne, NJ 07470
Phone (973) 633-0808
660 White Plains Rd
Fl 4
Tarrytown, NY 10591
Phone (914) 984-2546
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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.
-
- Hearing and Speech Clinic/Center
- Denville, NJ
- NPI 1275045627
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690416000000",
"number": "1306527957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "92 BROADWAY",
"city": "DENVILLE",
"state": "NJ",
"postal_code": "078342761",
"telephone_number": "973-627-0009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "92 BROADWAY",
"city": "DENVILLE",
"state": "NJ",
"postal_code": "078342761",
"telephone_number": "973-627-0009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZACHAROWICZ",
"first_name": "ELLIOT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-07-27",
"last_updated": "2023-07-27",
"certification_date": "2023-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NY",
"license": "003186",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NJ",
"license": "41YA00126700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Denville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; 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.