Individual provider Active NPI

Jenna Elias

  • Audiologist
  • New York, NY
National Provider Identifier
1649477613
Registry record updated Jan 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
002111-1 Issued in NY
Practice address
261 5TH Ave RM 901
New York, NY 10016-7601
Phone
(201) 341-1892
NPI assigned
Jul 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 002111-1 NY Primary
Audiologist 231H00000X

Addresses

Primary practice location

261 5TH Ave RM 901
New York, NY 10016-7601

Mailing address

545 W End Ave
Apt 5F
New York, NY 10024-2713
Phone (201) 341-1892

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120227000227 NY Practitioner - Qualified Audiologist 7113185851 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2009
Medicare assignment
May accept Medicare assignment
Group practices
Audiology Associates of Westchester, LLCGroup PAC ID 5496050254, 4 clinicians

Practice addresses (Care Compare)

550 Mamaroneck Ave
Suite 407
Harrison, NY 10528-1614
Phone (914) 949-0034

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002111-1NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology Associates of Westchester, LLC Audiologist CurrentSince Apr 30, 2023 Accepting new patients
Audiology Distribution, LLC CurrentSince Aug 1, 2020 Accepting new patients

Locations

7232 Austin St
Forest Hills, NY 11375
Phone (718) 577-5121

550 Mamaroneck Ave
Ste 407
Harrison, NY 10528
Phone (914) 949-0034

1776 Broadway
New York, NY 10019
Phone (212) 399-7329

785 Mamaroneck Ave
Bldg 4
White Plains, NY 10605
Phone (914) 683-0016

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": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326931200000",
    "number": "1649477613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 W END AVE",
            "address_2": "APT 5F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100242713",
            "telephone_number": "201-341-1892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 5TH AVE RM 901",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100167601",
            "telephone_number": "201-341-1892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELIAS",
        "first_name": "JENNA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-02",
        "last_updated": "2012-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "002111-1",
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2012; 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.