Active NPI
Madison Ann Dyjak
- Audiologist
- New Port Richey, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AY2498
- Practice address
- 11325 Little Rd
New Port Richey, FL 34654-1218 - Phone
- (800) 610-0399
- NPI assigned
- Apr 27, 2022
- Last updated
- May 9, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AY2498 | FL | Primary |
Addresses
Primary practice location
11325 Little Rd
New Port Richey, FL 34654-1218
Mailing address
4075 Mariner Blvd
Spring Hill, FL 34609-2467
Phone (800) 610-0399
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AY2498 | FL | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Davis Family Hearing Inc. | Audiologist | Current | Accepting new patients |
| Audiology Distribution, LLC | Current | Accepting new patients | |
| West Coast Ear, Nose & Throat Inc | Current | Accepting new patients | |
| Hearusa Inc | Past | Accepting new patients |
Locations
1330 S Fort Harrison Ave
Clearwater, FL 33756
Phone (727) 216-0700
5020 E Bay Dr
Ste 800
Clearwater, FL 33764
Phone (727) 330-9676
646 Virginia St
#3
Dunedin, FL 34698
646 Virginia St
Fl 3
Dunedin, FL 34698
Phone (727) 441-3588
646 Virginia St
Ste 3
Dunedin, FL 34698
3251 Hollywood Blvd
Ste 424
Hollywood, FL 33021
Phone (954) 963-6305
800 E Merritt Island Cswy
Ste 104
Merritt Island, FL 32952
Phone (321) 735-4942
11325 Little Rd
New Prt Rchy, FL 34654
Phone (352) 666-8910
4075 Mariner Blvd
Spring Hill, FL 34609
Phone (352) 666-8910
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1528
Organizations & group practices 4
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.
-
dba Ear, Nose & Throat Associates
- Otolaryngology Physician
- Clearwater, FL
- NPI 1346229440
-
- Audiologist
- Spring Hill, FL
- NPI 1043560048
-
- Audiologist-Hearing Aid Fitter
- West Palm Beach, FL
- NPI 1073560231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652054400000",
"number": "1386388197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4075 MARINER BLVD",
"city": "SPRING HILL",
"state": "FL",
"postal_code": "346092467",
"telephone_number": "800-610-0399",
"fax_number": "813-565-0680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11325 LITTLE RD",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "346541218",
"telephone_number": "800-610-0399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DYJAK",
"first_name": "MADISON",
"middle_name": "ANN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-04-27",
"last_updated": "2022-05-09",
"certification_date": "2022-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "FL",
"license": "AY2498",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Port Richey, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.