Enid Dianne Smith, AU.D, CCC-A

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

25MG00106800 Issued in NJ

Practice address

2 W Northfield Rd
Suite 303
Livingston, NJ 07039-3789

Phone

(862) 812-4300

Fax

(973) 994-0828

NPI assigned

Dec 6, 2006

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Associates in Otolaryngology of NJ, LLC

  • Specialist
  • West Orange, NJ
  • NPI 1417065392
  NPD (past)
• Mitzie Michelle Slayden

  • Audiologist-Hearing Aid Fitter
  • Hermitage, TN
  • NPI 1326221623
  NPD (past)

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300406400000",
    "number": "1811056039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 W NORTHFIELD RD",
            "address_2": "SUITE 303",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070393789",
            "telephone_number": "862-812-4300",
            "fax_number": "973-994-0828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 W NORTHFIELD RD",
            "address_2": "SUITE 303",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070393789",
            "telephone_number": "862-812-4300",
            "fax_number": "973-994-0828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ENID",
        "middle_name": "DIANNE",
        "credential": "AU.D, CCC-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2011-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NJ",
            "license": "41YA00068000",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NJ",
            "license": "25MG00106800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sleep Atozzzs LLC
• Small & Associates, Inc.
• Pamela Smallwood
• Bonnie J Smith, NP
• Corey Kamahl Smith, M.D.
• Florence Smith, ANP
• Franz Omar Smith, M.D.
• Jessica Smith, BCBA
• Leon Smith, M.D.
• SN Pediatric Potentials, Inc.

• Audiologist-Hearing Aid Fitter in Livingston, NJ
• Providers in Livingston, NJ by specialty
• Audiologist-Hearing Aid Fitter in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.