Individual provider Active NPI

Alexander Woznicki, AUD

  • Audiologist
  • Enfield, CT
National Provider Identifier
1326827007
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
752 Issued in CT
Practice address
146 Hazard Ave
Enfield, CT 06082-4571
Phone
(860) 763-3242
Fax
(860) 763-3242
NPI assigned
Sep 22, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Assistive Technology Practitioner Audiologist 231HA2400X 752 CT
Speech/Language/Hearing Specialist/Technologist 235500000X 752 CT
Audiologist-Hearing Aid Fitter 237600000X 000752 CT
Hearing Instrument Specialist 237700000X 752 CT
Audiologist 231H00000X 752 CT Primary

Addresses

Primary practice location

146 Hazard Ave
Enfield, CT 06082-4571

Mailing address

146 Hazard Ave
Enfield, CT 06082-4571
Phone (860) 763-3242

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231106000794 CT Practitioner - Qualified Audiologist 9335596840 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Pennsylvania College of Optometry, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michael P Bernstein MD LLCGroup PAC ID 0648498444, 4 clinicians

Practice addresses (Care Compare)

146 Hazard Ave
Suite 204
Enfield, CT 06082-4566
Phone (860) 763-3243

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
752CTMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Michael P Bernstein MD LLC Audiologist CurrentSince Sep 27, 2023 Accepting new patients
Connecticut Ear Nose Throat Medical and Surgical Specialists PC CurrentSince Sep 25, 2023 Accepting new patients
Michael P. Bernstein, MD Audiologist PastSince Sep 27, 2023 Accepting new patients

Locations

146 Hazard Ave
Enfield, CT 06082
Phone (860) 749-8363

146 Hazard Ave
Ste 204
Enfield, CT 06082
Phone (860) 763-3243

15 Corporate Dr
Ste 2-8
Trumbull, CT 06611
Phone (203) 452-7081

Organizations & group practices 3

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": "1695340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1326827007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 HAZARD AVE",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060824571",
            "telephone_number": "860-763-3242",
            "fax_number": "860-763-3244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 HAZARD AVE",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060824571",
            "telephone_number": "860-763-3242",
            "fax_number": "860-763-3242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOZNICKI",
        "first_name": "ALEXANDER",
        "credential": "AUD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-22",
        "last_updated": "2024-03-18",
        "certification_date": "2023-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231HA2400X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Practitioner",
            "state": "CT",
            "license": "752",
            "primary": false
        },
        {
            "code": "235500000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist",
            "state": "CT",
            "license": "752",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CT",
            "license": "000752",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "CT",
            "license": "752",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CT",
            "license": "752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.