Dr. Mary S Carroll, AUD
Audiologist in Newark, New Jersey
1508401134- Practice location
- 140 Bergen Street, E-1680, Newark, NJ 07103
- Phone
- 973-972-1017
- Fax
- —
- Last updated
- November 7, 2019
Mary Shannon Carroll is an Audiologist based in Newark, NJ. Mary Shannon Carroll practices in Newark, NJ and has the professional credentials of AUD. The NPI Number for Mary Shannon Carroll is 1508401134 and holds a License No. 41YA00105600 (NJ). The current practice location address for Mary Shannon Carroll is 140 Bergen Street, E-1680, Newark, NJ 07103 and can be reached out via phone at 973-972-1017.
Provider Profile Details
- NPI Number
- 1508401134
- Provider Name
- Mary Shannon Carroll
- Credential
- AUD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 140 Bergen Street, E-1680, Newark, NJ 07103
- Phone Number
- 973-972-1017
- Primary Taxonomy
- Audiologist · 231H00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 7, 2019
- Last Update Date
- November 7, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 140 Bergen Street
E-1680
Newark, NJ 07103 - City
- Newark
- State
- New Jersey
- Zip
- 07103
- Phone Number
- 973-972-1017
Provider Business Mailing Address Details
- Address
- 1028 Laurel Trl
Martinsville, NJ 08836-2211 - City
- Martinsville
- State
- NJ
- Zip
- 08836-2211
- Phone Number
- 908-872-0653
License Information
- License Number
- 41YA00105600
- License State
- NJ
- Taxonomy
- Audiologist · 231H00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Audiologists near Newark, NJ
View all Audiologists in Newark →Frequently Asked Questions
What is the NPI number of Dr. Mary S Carroll, AUD?
The NPI number of Dr. Mary S Carroll, AUD is 1508401134. It was assigned on November 7, 2019 and is currently active in the NPPES registry.
What is the specialty of Dr. Mary S Carroll, AUD?
Dr. Mary S Carroll, AUD is registered under the primary taxonomy Audiologist (code 231H00000X), licensed in NJ under license number 41YA00105600.
Where does Dr. Mary S Carroll, AUD practice?
The practice location is 140 Bergen Street, E-1680, Newark, NJ 07103. The office can be reached at 973-972-1017 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1508401134 directly on the NPPES registry website.