NPIMap

Organization Active NPI

Audrey B Greenwald Ms CCC PA

  • Health Maintenance Organization
  • Boca Raton, FL
National Provider Identifier
1013964915
Registry record updated Aug 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
SZ3827 Issued in FL
Legal business name
AUDREY B GREENWALD MS CCC PA
Doing business as
Audrey B Greenwald MS CCC PA
Practice address
160 NW 4TH St
Boca Raton, FL 33432-3826
Phone
(561) 391-8444
NPI assigned
May 27, 2006
Last updated
Aug 18, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2010

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

Authorized official

Name
Ms. Audrey Greenwald, MS CCCNPI 1922122753
Title
Speech Language Pathologist
Phone
56139184444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X SZ3827 FL Primary

Addresses

Primary practice location

160 NW 4TH St
Boca Raton, FL 33432-3826

Mailing address

160 NW 4TH St
Boca Raton, FL 33432-3826
Phone (561) 391-8444

Other identifiers 1

IdentifierTypeStateIssuer
882652800MedicaidFL

Other names 1

  • Audrey B Greenwald MS CCC PA Doing business as

National Provider Directory

National Provider Directory

Locations

160 NW 4th St
Boca Raton, FL 33432
Phone (561) 391-6822

Practitioners & affiliated clinicians

Practitioners 32

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 32

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282089600000",
    "number": "1013964915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 NW 4TH ST",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334323826",
            "telephone_number": "561-391-8444",
            "fax_number": "561-391-6823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 NW 4TH ST",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334323826",
            "telephone_number": "561-391-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUDREY B GREENWALD MS CCC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2010-08-18",
        "status": "A",
        "authorized_official_last_name": "GREENWALD",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "56139184444",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS CCC"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "FL",
            "license": "SZ3827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "882652800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Audrey B Greenwald MS CCC PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.