Individual provider Active NPI

Cindy Fernandez, AU.D.

  • Audiologist
  • Elizabeth, NJ
National Provider Identifier
1679301675
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
41YA00132100 Issued in NJ
Practice address
1207 E Grand St
Elizabeth, NJ 07201-2319
Phone
(908) 845-1605
NPI assigned
Jul 23, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 41YA00132100 NJ Primary

Addresses

Primary practice location

1207 E Grand St
Elizabeth, NJ 07201-2319

Mailing address

1207 E Grand St
Elizabeth, NJ 07201-2319
Phone (908) 845-1605

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240920001284 NJ Practitioner - Qualified Audiologist 2466993209 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Englewood Ear Nose and Throat PCGroup PAC ID 6002900701, 8 clinicians

Practice addresses (Care Compare)

216 Engle St
Suite 101
Englewood, NJ 07631-2428
Phone (201) 816-9800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Englewood Ear Nose & Throat PC CurrentSince Sep 16, 2024 Accepting new patients
Anthony F. Jahn,M.D.,PA PastSince Sep 16, 2024 Accepting new patients

Locations

216 Engle St
Ste 101
Englewood, NJ 07631
Phone (201) 816-9800

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": "1721692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1679301675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 E GRAND ST",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072012319",
            "telephone_number": "908-845-1605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 E GRAND ST",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072012319",
            "telephone_number": "908-845-1605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "CINDY",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-23",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NJ",
            "license": "41YA00132100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.