Individual provider Active NPI

Elizabeth Ann Hayden, M.A., CCC-A

  • Audiologist-Hearing Aid Fitter
  • Long Valley, NJ
National Provider Identifier
1376687350
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
41YA00026500 Issued in NJ
Practice address
102 Rock Rd
Long Valley, NJ 07853-3354
Phone
(908) 684-0162
Fax
(973) 940-8918
NPI assigned
Feb 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 41YA00026500 NJ Primary

Addresses

Primary practice location

102 Rock Rd
Long Valley, NJ 07853-3354

Mailing address

102 Rock Rd
Long Valley, NJ 07853-3354
Phone (908) 684-0162

Other identifiers 2

IdentifierTypeStateIssuer
25MG00058300OtherNJHEARING AID DISPENSER LIC
41YA00026500OtherNJAUDIOLOGY LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081022000227 NJ Practitioner - Qualified Audiologist 9830257757 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Audiology Services of NJ LLCGroup PAC ID 2961861570, 3 clinicians

Practice addresses (Care Compare)

39 Newton Sparta Rd
Suite 1C
Newton, NJ 07860-2773
Phone (973) 383-4100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
41YA00026500NJMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Otolaryngology Associates CurrentSince Apr 2, 2019 Accepting new patients
Audiology Services of NJ LLC CurrentSince Jul 1, 2023 Accepting new patients

Locations

557 Cranbury Rd
Ste 3
East Brunswick, NJ 08816
Phone (732) 613-0600

39 Newton Sparta Rd
Ste 1C
Newton, NJ 07860
Phone (973) 383-4100

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376687350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 ROCK RD",
            "city": "LONG VALLEY",
            "state": "NJ",
            "postal_code": "078533354",
            "telephone_number": "908-684-0162",
            "fax_number": "973-940-8918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 ROCK RD",
            "city": "LONG VALLEY",
            "state": "NJ",
            "postal_code": "078533354",
            "telephone_number": "908-684-0162",
            "fax_number": "973-940-8918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYDEN",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "M.A., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NJ",
            "license": "41YA00026500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEARING AID DISPENSER LIC",
            "identifier": "25MG00058300",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AUDIOLOGY LICENSE",
            "identifier": "41YA00026500",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Valley, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.