Individual provider Active NPI

Jennifer Wadja, AU.D.

  • Audiologist
  • Wethersfield, CT
National Provider Identifier
1497448518
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
17.000744 Issued in CT
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

Updated by the provider on Oct 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230726003174 CT Practitioner - Qualified Audiologist 2163883992 Reassigns benefits to 2 organizations

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
Connecticut Ear, Nose and Throat Associates, P.C.Group PAC ID 3870533730, 20 clinicians

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

LicenseStateTypeSpecialty
17.000744CTMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Ear, Nose & Throat Associates, P.C. CurrentSince Jan 31, 2024 Accepting new patients
Connecticut Ear, Nose & Throat, Sinus & Allergy Specialists, P.C. Audiologist CurrentSince Jul 7, 2023 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

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.