NPIMap

Organization Active NPI

Jamie Lantz, LLC

  • Audiologist
  • Freehold, NJ
National Provider Identifier
1033278239
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
JAMIE LANTZ, LLC
Practice address
4257 US Highway 9 BLDG 6
Freehold, NJ 07728-8310
Phone
(732) 303-9660
Fax
(732) 303-1810
NPI assigned
Dec 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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

Authorized official

Name
Jamie Lantz, AUDNPI 1457989881
Title
Owner
Phone
(732) 303-9660

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193200000X MULTI-SPECIALTY GROUP 231H00000X Primary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

4257 US Highway 9 BLDG 6
Freehold, NJ 07728-8310

Mailing address

4257 US Highway 9 BLDG 6
Freehold, NJ 07728-8310
Phone (732) 303-9660

Other identifiers 1

IdentifierTypeStateIssuer
7939809MedicaidNJ

Other names 3

  • Professional Hearing Center Doing business as
  • Professional Hearing Speech & Balance Center Doing business as
  • Jill Gordan Inc Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221011000102 NJ Part B Supplier - Clinic/Group Practice 4486030749 Receives reassigned benefits from 1 practitioner
Practice locations: Freehold, NJ

National Provider Directory

National Provider Directory

Locations

4257 US Highway 9
Freehold, NJ 07728
Phone (732) 303-9660

4257 Route 9 N
Ste B
Freehold, NJ 07728
Phone (732) 303-9660

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665446400000",
    "number": "1033278239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4257 US HIGHWAY 9 BLDG 6",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077288310",
            "telephone_number": "732-303-9660",
            "fax_number": "732-303-1810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4257 US HIGHWAY 9 BLDG 6",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077288310",
            "telephone_number": "732-303-9660",
            "fax_number": "732-303-1810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMIE LANTZ, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A",
        "authorized_official_last_name": "LANTZ",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-303-9660",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7939809",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional Hearing Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Professional Hearing Speech & Balance Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jill Gordan Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Freehold, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.