Individual provider Active NPI

Adam Enock, SC.D.

  • Audiologist
  • Lakewood, NJ
National Provider Identifier
1679870299
Registry record updated Mar 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
41YA00078800 Issued in NJ
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

Updated by the provider on Mar 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1922305549OtherNJBUSINESS NPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110815000406 NJ Practitioner - Qualified Audiologist 1456520121 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
25MG00121500NJMDHearing 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.

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.

Verify at the official NPI Registry.