Active NPI
Adam Enock, SC.D.
- Audiologist
- Lakewood, NJ
National Provider Identifier
1679870299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 41YA00078800
- Practice address
- 921 E County Line Rd Ste C
Lakewood, NJ 08701-2082 - Phone
- (732) 987-6590
- Fax
- (732) 987-6591
- NPI assigned
- Feb 16, 2011
- Sex
- Male
- Sole proprietor
- No
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 | 231H00000X | 41YA00078800 | NJ | Primary |
| Hearing Instrument Specialist | 237700000X | 25MG00121500 | NJ |
Addresses
Primary practice location
921 E County Line Rd Ste C
Lakewood, NJ 08701-2082
Mailing address
921 E County Line Rd Ste C
Lakewood, NJ 08701-2082
Phone (732) 987-6590
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922305549 | Other | NJ | BUSINESS NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
921 E County Line Rd
Lakewood, NJ 08701-2063
Phone (732) 987-6590
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MG00121500 | NJ | MD | Hearing Instrument Specialist |
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 and National Provider Directory roles.
-
- Hearing Instrument Specialist
- Lakewood, NJ
- NPI 1922305549
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646179200000",
"number": "1679870299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "921 E COUNTY LINE RD STE C",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087012082",
"telephone_number": "732-987-6590",
"fax_number": "732-987-6591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "921 E COUNTY LINE RD STE C",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087012082",
"telephone_number": "732-987-6590",
"fax_number": "732-987-6591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENOCK",
"first_name": "ADAM",
"name_prefix": "Dr.",
"credential": "SC.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-02-16",
"last_updated": "2022-03-02",
"certification_date": "2022-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NJ",
"license": "41YA00078800",
"primary": true
},
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "NJ",
"license": "25MG00121500",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BUSINESS NPI",
"identifier": "1922305549",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; 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.