Lisa Caroline Predmore, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

001204 Issued in NY

Practice address

1165 Northern Blvd
Suite 302
Manhasset, NY 11030-3048

Phone

(516) 627-7600

Fax

(516) 627-6378

NPI assigned

Jan 17, 2006

Last updated

Jul 15, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lisa C. Predmore Au.D., PC

  • Audiologist
  • Manhasset, NY
  • NPI 1447391057
  Medicare reassignment NPD Authorized official
• Bronxcare Health System

  • Internal Medicine Physician
  • Bronx, NY
  • NPI 1245390855
  Medicare reassignment NPD
• Lisa Predmore Aud PC

  dba Lisa Predmore Aud

  • Audiologist
  • Manhasset, NY
  • NPI 1073857660
  NPD (past) Authorized official
• Bronxcare Health System

  • Otolaryngology Physician
  • Bronx, NY
  • NPI 1619212933
  NPD
• Bronxcare Health System

  • Methadone Clinic
  • Bronx, NY
  • NPI 1801428222
  NPD
• Woodcrest Rehabilitation and Residential Health Care Center LLC

  • Skilled Nursing Facility
  • Flushing, NY
  • NPI 1508069360
  NPD (past)

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436918400000",
    "number": "1043290190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1165 NORTHERN BLVD",
            "address_2": "SUITE 302",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303048",
            "telephone_number": "516-627-7600",
            "fax_number": "516-627-6378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 NORTHERN BLVD",
            "address_2": "SUITE 302",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303048",
            "telephone_number": "516-627-7600",
            "fax_number": "516-627-6378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREDMORE",
        "first_name": "LISA",
        "middle_name": "CAROLINE",
        "credential": "AU.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-17",
        "last_updated": "2015-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "NY",
            "license": "001204",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "001204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02266580",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lakha Prasannan
• Alyssa Marie Pravata
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• Precision Surgery of New York PC
• Courtney Marie Prezioso, MPT
• Simon Elliot Prince, D.O.
• Prine Health Ipa, LLC.
• Prine Health Medical Group, PLLC (PRINE Podiatry)
• Prine Health Medical Group, PLLC (PRINE Podiatry)

• Audiologist in Manhasset, NY
• Providers in Manhasset, NY by specialty
• Audiologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2015; 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.

Verify at the official NPI Registry.