Individual provider Active NPI

Ellen L Cooperider

  • Audiologist
  • Somerset, NJ
National Provider Identifier
1447719117
Registry record updated Mar 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
235-156 Issued in WI
Practice address
2501 Cottontail LN
Somerset, NJ 08873-5125
Phone
(732) 529-7120
NPI assigned
Mar 13, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 235-156 WI Primary

Addresses

Primary practice location

2501 Cottontail LN
Somerset, NJ 08873-5125

Mailing address

2501 Cottontail LN
Somerset, NJ 08873-5125
Phone (732) 529-7120

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190430000292 WI Practitioner - Qualified Audiologist 5294077905 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aud Hearing LLCGroup PAC ID 6800899154, 2 clinicians

Practice addresses (Care Compare)

875 Townline Rd
Unit 101
Lake Geneva, WI 53147-5517
Phone (262) 249-8585

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Accuquest Hearing Center, LLC Audiologist CurrentSince May 1, 2021 Accepting new patients
Au.D. Hearing, LLC CurrentSince Sep 27, 2021 Accepting new patients
Accuquest Hearing Center, LLC Past Accepting new patients

Locations

2501 Cottontail Ln
Somerset, NJ 08873
Phone (732) 529-7120

17495 W Capitol Dr
Ste E
Brookfield, WI 53045
Phone (262) 781-0226

4860 S 74th St
Ste A2
Greenfield, WI 53220
Phone (414) 281-7484

875 Townline Rd
Lake Geneva, WI 53147

875 Townline Rd
Unit 101
Lake Geneva, WI 53147
Phone (262) 249-5855

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": "1552435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552435200000",
    "number": "1447719117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 COTTONTAIL LN",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088735125",
            "telephone_number": "732-529-7120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 COTTONTAIL LN",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088735125",
            "telephone_number": "732-529-7120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPERIDER",
        "first_name": "ELLEN",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-13",
        "last_updated": "2019-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WI",
            "license": "235-156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2019; 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.