Individual provider Active NPI

Elizabeth Maria Ayotte, AU.D.

  • Audiologist
  • New Haven, CT
National Provider Identifier
1972163319
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
000638 Issued in CT
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000638OtherCTCONNECTICUT LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.entmedicalsurgical.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190910001842 CT Practitioner - Qualified Audiologist 7719216175 Reassigns benefits to 1 organization

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
Ear, Nose and Throat Medical and Surgical Group, LLCGroup PAC ID 5698831212, 11 clinicians

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

LicenseStateTypeSpecialty
000638CTMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ear Nose & Throat Medical and Surgical Group, LLC PastSince Jun 3, 2019 Accepting new patients

Interoperability endpoints

  • FHIR API: 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.

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.

Verify at the official NPI Registry.