DR. MARY SHANNON CARROLL (NPI# 1508401134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508401134 |
| Entity Type | Individual |
| Full Name | DR. MARY SHANNON CARROLL |
| Credential | AU.D. |
| Practice Address |
140 Bergen Street E-1680 Newark NJ 07103 |
| Mailing Address |
1028 Laurel Trl Martinsville NJ 08836-2211 |
| Practice Telephone | 9739721017 |
| Mailing Telephone | 9088720653 |
| Enumeration Date | 2019-11-07 |
| Last Update Date | 2019-11-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 41YA00105600 | NJ | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790155141 | Mary Catherine Carroll | Dentist | 1018 Cross Bow Dr, Hendersonville, TN 37075-9402 | 2015-09-28 |
| 1285993055 | Mary Miles Carroll | Counselor | 410 E Victoria St, Santa Barbara, CA 93101-1225 | 2012-05-14 |
| 1609148378 | Mary Virginia Carroll | Doula | 216 West St, Wilkinsburg, PA 15221-3339 | 2012-01-27 |
| 1184836694 | Mary Elizabeth Carroll | Physical Therapist | 15 Halko Dr, Cedar Knolls, NJ 07927-1306 | 2007-05-04 |
| 1679674212 | Mary N. Carroll | Counselor | 1400 Barbara Loop Se Ste D, Rio Rancho, NM 87124-1088 | 2006-09-26 |
| 1750359303 | Mary Katherine Carroll | Nurse Practitioner | 7990 Arco Corporate Dr, Raleigh, NC 27617-2029 | 2006-03-09 |
| 1730153636 | Mary Elizabet Carroll | Internal Medicine | 9110 Philadelphia Rd., Ste. 108, Rosedale, MD 21237-4301 | 2006-02-15 |
| 1205474897 | Mary Catherine Carroll | Student in an Organized Health Care Education/Training Program | 1149 S Hill St Ste H-375, Los Angeles, CA 90015-2212 | 2019-12-15 |
| 1407343437 | Mary Katherine Carroll | Occupational Therapist | 4210 Telegraph Ln, Vermilion, OH 44089-3748 | 2018-04-16 |
| 1043736465 | Mary Puckett Carroll | Pharmacist | 6201 N Suncoast Blvd, Crystal River, FL 34428-6712 | 2017-08-17 |
| Street Address |
140 BERGEN STREET E-1680 |
| City | NEWARK |
| State | NJ |
| Zip Code | 07103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790786416 | Noah Adam Goldman | Obstetrics & Gynecology | 140 Bergen Street, Level C, Newark, NJ 07103 | 2005-08-03 |
| 1336573906 | City of Newark | Clinic/Center | 140 Bergen Street, Newark, NJ 07103 | 2013-08-30 |
| 1609178276 | University Hospital | Clinic/Center | 140 Bergen Street, Dept. Acc Clinics, F-1776, Newark, NJ 07103-2425 | 2010-12-02 |
| 1245440783 | Langirene Mathieu Aguilh | Nurse Practitioner | 140 Bergen Street, Newark, NJ 07103-2496 | 2007-05-23 |
| 1306055520 | Umdnj University Hospital | Audiologist | 140 Bergen Street, E# 1700, Newark, NJ 07103 | 2007-05-22 |
| 1962611376 | Shyam Noruthun | Registered Nurse | 140 Bergen Street, Newark, NJ 09103 | 2007-05-22 |
| 1881807774 | Debbie Ysmin Mohammed | Nurse Practitioner | 140 Bergen Street, D Level, Newark, NJ 07103 | 2007-05-07 |
| 1558581926 | Patricia E Connelly | Audiologist | 140 Bergen Street, E Level, Newark, NJ 07103 | 2007-04-26 |
| 1780704205 | Diana Gurevich Finkel | Internal Medicine | 140 Bergen Street, Ambulatory Care Center Level D, Newark, NJ 07103 | 2007-03-29 |
| 1437161874 | Subhashini Manjula Ayloo | Transplant Surgery | 140 Bergen Street, Acc Bldg D-1650, Newark, NJ 07103 | 2006-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124657077 | Yingna Liu | Student in an Organized Health Care Education/Training Program | Medical Science Building, 185 South Orange Avenue, Newark, NJ 07103 | 2020-04-03 |
| 1568029684 | Martins Akhibi | Nurse Practitioner | 178 Newton Street, Newark, NJ 07103 | 2019-05-23 |
| 1972168482 | Newark Renaissance House, Inc | Rehabilitation, Substance Use Disorder Unit | 50-56 Norfolk Street, Newark, NJ 07103 | 2019-05-09 |
| 1346709235 | Ian Wang Yu | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave., Medical Science Building, Room I-506, Newark, NJ 07103 | 2019-03-19 |
| 1437648417 | Stephen Vanbeek | Internal Medicine | 185 S Orange Ave Rm 547, Newark, NJ 07103 | 2018-05-06 |
| 1073019444 | Geoffrey Alexander Talis | Student in an Organized Health Care Education/Training Program | 183 S. Orange Avenue, Level E, Room 1452, Newark, NJ 07103 | 2018-04-03 |
| 1285139907 | Thomas Georg Bachmann | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave, Medical Science Building, G-538, Newark, NJ 07103 | 2018-03-26 |
| 1154825289 | Shammi A Patel | Student in an Organized Health Care Education/Training Program | 185 S Orange Ave # Msbg594, Newark, NJ 07103 | 2018-03-22 |
| 1982122545 | North Jersey Aids Alliance | Clinic/Center | 393 Central Avenue C/o Corey Destefano, Newark, NJ 07103 | 2017-09-05 |
| 1134655533 | Yasmin N Abedin | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave, Msb E-506, Rutgers, New Jersey Medical School, Newark, NJ 07103 | 2017-05-04 |
| Find all providers in zip 07103 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154774503 | Amanda Maioriello | Audiologist | 774 Christiana Rd Bldg Suiteb4, Newark, DE 19713-4236 | 2016-07-21 |
| 1194067645 | Latoya Shuler | Audiologist | 630 E Chestnut Hill Rd, Newark, DE 19713-1828 | 2013-03-22 |
| 1528280708 | Kathleen Joan Riley | Audiologist | 620 E Chestnut Hill Rd, Newark, DE 19713-1828 | 2007-05-03 |
| 1689894933 | Lisa Bell | Audiologist | 140 Bergen St Ste 1680, Newark, NJ 07103-2425 | 2007-04-27 |
| 1316042997 | James I Tyler | Audiologist | Peoples Plaza, Suite 28, Newark, DE 19702 | 2006-09-14 |
| 1376100859 | Virtual Benefit Solutions Inc | Audiologist | 39899 Balentine Dr Ste 200, Newark, CA 94560-5361 | 2019-05-21 |
| 1841708179 | University of Delaware | Audiologist | 540 S College Ave Ste 102, Newark, DE 19713-1302 | 2018-01-22 |
| 1386152346 | Lynne Duvall | Audiologist | 36 Mcmillen Dr, Newark, OH 43055-1809 | 2018-01-11 |
| 1760930549 | Gary Marencin | Audiologist | 4735 Ogletown-stanton Road, Medical Arts Pavilion 2, Suite 1205, Newark, DE 19713 | 2016-09-21 |
| 1326395310 | Nicole Madeline Raia | Audiologist | 140 Bergen St, E Level 1700, Newark, NJ 07103-2425 | 2012-08-08 |
| Find all providers in NEWARK | ||||
Please comment or provide details below to improve the information on DR. MARY SHANNON CARROLL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.