Healthcare Provider Details

I. General information

NPI: 1558354555
Provider Name (Legal Business Name): JENNIFER ELFERT AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/24/2005
Last Update Date: 11/28/2023
Certification Date: 11/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4691 ROUTE 9 N
HOWELL NJ
07731-3384
US

IV. Provider business mailing address

4691 ROUTE 9 N
HOWELL NJ
07731-3384
US

V. Phone/Fax

Practice location:
  • Phone: 732-942-7220
  • Fax: 732-942-7225
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number904
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number586
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: