Elena Kagan Weitz, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

41YA00091600 Issued in NJ

Practice address

1515 Broad St
Building B
Bloomfield, NJ 07003-3002

Phone

(973) 655-4000

NPI assigned

Jul 11, 2011

Last updated

Feb 8, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

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.

• Montclair State University

  dba Montclair State Clinical Services Group

  • Clinic/Center
  • Montclair, NJ
  • NPI 1902346877
  Medicare reassignment NPD
• Msu Center for Audiology and Speech Language Pathology

  • Audiologist
  • Bloomfield, NJ
  • NPI 1508038365
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1310342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486512000000",
    "number": "1730477894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 BRYDEN PL",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074501627",
            "telephone_number": "646-436-6382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 BROAD ST",
            "address_2": "BUILDING B",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070033002",
            "telephone_number": "973-655-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEITZ",
        "first_name": "ELENA",
        "middle_name": "KAGAN",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-11",
        "last_updated": "2017-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "0023341",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NJ",
            "license": "41YA00091600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• April Waterman, RN IBCLC
• Joanne Webb-Williams, ANP-C
• Seth Jacob Weinstein, DPT
• Michele Weisberger, RD
• Elaine Lee Weiss
• Todd Welsh, D.M.D.
• Kylie Marie Whalen
• Taneisha Williams
• Vasthi C Wilson, MD
• Fayon Witche, LPC

• Audiologist in Bloomfield, NJ
• Providers in Bloomfield, NJ by specialty
• Audiologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.