Active NPI
Elizabeth Maria Ayotte, AU.D.
- Audiologist
- New Haven, CT
National Provider Identifier
1972163319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 000638
- Practice address
- 46 Prince St Ste 601
New Haven, CT 06519-1634 - Phone
- (203) 752-1726
- NPI assigned
- Jun 18, 2019
- Last updated
- Jun 6, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 000638 | CT | Primary |
Addresses
Primary practice location
46 Prince St Ste 601
New Haven, CT 06519-1634
Mailing address
31 Broadway
North Haven, CT 06473-2363
Phone (203) 234-1324
Other practice location 1
31 Broadway
North Haven, CT 06473-2304
Phone (203) 234-4324
Other practice location 2
954 Main St
Branford, CT 06405-3730
Phone (203) 481-0003
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000638 | Other | CT | CONNECTICUT LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.entmedicalsurgical.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
31 Broadway
North Haven, CT 06473-2363
Phone (203) 234-1324
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000638 | CT | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ear Nose & Throat Medical and Surgical Group, LLC | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FEBFCA
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Otolaryngology Physician
- North Haven, CT
- NPI 1790854651
-
- Nurse Practitioner
- New Haven, CT
- NPI 1679835086
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717632000000",
"number": "1972163319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 BROADWAY",
"city": "NORTH HAVEN",
"state": "CT",
"postal_code": "064732363",
"telephone_number": "203-234-1324",
"fax_number": "203-239-3047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46 PRINCE ST STE 601",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065191634",
"telephone_number": "203-752-1726"
}
],
"practiceLocations": [
{
"address_1": "31 Broadway",
"address_purpose": "LOCATION",
"city": "North Haven",
"state": "CT",
"postal_code": "064732304",
"country_code": "US",
"telephone_number": "203-234-4324",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "954 Main St",
"address_purpose": "LOCATION",
"city": "Branford",
"state": "CT",
"postal_code": "064053730",
"country_code": "US",
"telephone_number": "203-481-0003",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AYOTTE",
"first_name": "ELIZABETH",
"middle_name": "MARIA",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-18",
"last_updated": "2024-06-06",
"certification_date": "2024-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CT",
"license": "000638",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICUT LICENSE",
"identifier": "000638",
"state": "CT"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.entmedicalsurgical.com",
"affiliation": "N",
"address_1": "46 Prince St Ste 601",
"city": "New Haven",
"state": "CT",
"country_code": "US",
"postal_code": "065191634",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.