Active NPI
Susan Bennett, M.A., CCC-A
- Audiologist
- Fairfield, CT
National Provider Identifier
1619138161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 000302
- Practice address
- 1305 Post Rd
Suite 302
Fairfield, CT 06824-6016 - Phone
- (203) 259-4700
- Fax
- (203) 259-0328
- NPI assigned
- Jun 18, 2008
- Last updated
- Jun 18, 2008
- 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 | 000302 | CT | Primary |
Addresses
Primary practice location
1305 Post Rd
Suite 302
Fairfield, CT 06824-6016
Mailing address
1305 Post Rd
Suite 302
Fairfield, CT 06824-6016
Phone (203) 259-4700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000302 | CT | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richard a Levin, MD,DMD,Lawrence J. Fliegelman, M.D.,LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Otolaryngology Physician
- Fairfield, CT
- NPI 1831383371
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213747200000",
"number": "1619138161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1305 POST RD",
"address_2": "SUITE 302",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068246016",
"telephone_number": "203-259-4700",
"fax_number": "203-259-0328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1305 POST RD",
"address_2": "SUITE 302",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068246016",
"telephone_number": "203-259-4700",
"fax_number": "203-259-0328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "SUSAN",
"credential": "M.A., CCC-A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-18",
"last_updated": "2008-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CT",
"license": "000302",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.