Active NPI
Cynthia Lynn Frederick, AU.D.
- Audiologist
- West Orange, NJ
National Provider Identifier
1003268368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 41YA00094000
- Practice address
- 741 Northfield Ave
Suite 104a
West Orange, NJ 07052-1174 - Phone
- (973) 731-6115
- NPI assigned
- Jul 11, 2016
- 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 | 41YA00094000 | NJ | Primary |
Addresses
Primary practice location
741 Northfield Ave
Suite 104a
West Orange, NJ 07052-1174
Mailing address
741 Northfield Ave
Suite 104a
West Orange, NJ 07052-1174
Phone (973) 731-6115
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
741 Northfield Ave
Suite 104
West Orange, NJ 07052-1104
Phone (973) 243-0600
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.89 of 100
- Quality
- 72.08
- Improvement activities
- 40
- Cost
- 83.52
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associates in Otolaryngology of NJ, LLC | Current | Accepting new patients |
Locations
741 Northfield Ave
Ste 104A
West Orange, NJ 07052
Phone (973) 731-6115
741 Northfield Ave
Ste 104
West Orange, NJ 07052
Phone (201) 243-0600
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- West Orange, NJ
- NPI 1417065392
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468195200000",
"number": "1003268368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "741 NORTHFIELD AVE",
"address_2": "SUITE 104A",
"city": "WEST ORANGE",
"state": "NJ",
"postal_code": "070521174",
"telephone_number": "973-731-6115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "741 NORTHFIELD AVE",
"address_2": "SUITE 104A",
"city": "WEST ORANGE",
"state": "NJ",
"postal_code": "070521174",
"telephone_number": "973-731-6115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREDERICK",
"first_name": "CYNTHIA",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-11",
"last_updated": "2016-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NJ",
"license": "41YA00094000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Orange, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2016; 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.