Active NPI
Jennifer Wadja, AU.D.
- Audiologist
- Wethersfield, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 17.000744
- Practice address
- 988 Silas Deane Hwy
Wethersfield, CT 06109-4227 - Phone
- (860) 493-1950
- Fax
- (860) 493-1961
- NPI assigned
- Jun 2, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | 17.000744 | CT | |
| Audiologist | 231H00000X | 17.000744 | CT | Primary |
Addresses
Primary practice location
988 Silas Deane Hwy
Wethersfield, CT 06109-4227
Mailing address
988 Silas Deane Hwy
Wethersfield, CT 06109-4227
Phone (860) 493-1950
Other names 1
- Jennifer Roy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
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)
988 Silas Deane Hwy
Wethersfield, CT 06109-4227
Phone (860) 493-1950
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17.000744 | CT | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connecticut Ear, Nose & Throat Associates, P.C. | Current | Accepting new patients | |
| Connecticut Ear, Nose & Throat, Sinus & Allergy Specialists, P.C. | Audiologist | Current | Accepting new patients |
Locations
499 Farmington Ave
Ste 210
Farmington, CT 06032
Phone 8604931950139
300 Hebron Ave
Ste 202
Glastonbury, CT 06033
Phone (860) 659-2759
85 Seymour St
Ste 318
Hartford, CT 06106
Phone (860) 493-1950
2800 Tamarack Ave
Ste 210
South Windsor, CT 06074
21 W Main St
Fl 1
Waterbury, CT 06702
Phone (203) 574-3777
21 W Main St
Waterbury, CT 06702
Phone (203) 317-3333
21 W Main St
Fl 3
Waterbury, CT 06702
Phone (203) 574-3777
21 W Main St
Bldg 3RD
Waterbury, CT 06702
Phone (203) 574-3777
988 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 493-1950
Interoperability endpoints
- jwadja547678@xdr.hhchealthdirect.org
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.
-
- Otolaryngology Physician
- Wethersfield, CT
- NPI 1528168705
-
- Otolaryngology Physician
- Waterbury, CT
- NPI 1881635712
Audiologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727827200000",
"number": "1497448518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "988 SILAS DEANE HWY",
"city": "WETHERSFIELD",
"state": "CT",
"postal_code": "061094227",
"telephone_number": "860-493-1950",
"fax_number": "860-493-1961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "988 SILAS DEANE HWY",
"city": "WETHERSFIELD",
"state": "CT",
"postal_code": "061094227",
"telephone_number": "860-493-1950",
"fax_number": "860-493-1961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WADJA",
"first_name": "JENNIFER",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-06-02",
"last_updated": "2024-10-02",
"certification_date": "2024-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "CT",
"license": "17.000744",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CT",
"license": "17.000744",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "ROY",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Wethersfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.