Olga Lis Audiology PC

Primary specialty

Audiology AssistantTaxonomy code 2355A2700X

Legal business name

OLGA LIS AUDIOLOGY PC

Practice address

209 Avenue P Ste 2a
Brooklyn, NY 11204-4982

Phone

(718) 421-2782

Fax

(718) 421-2783

NPI assigned

May 15, 2018

Organization subpart

No

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

Authorized official

Name

Olga Lis, AUDNPI 1245552421

Title

Owner

Phone

(719) 333-1394

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

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

• Olga Lis, MS CCC-A

  • Audiologist
  • Brooklyn, NY
  • NPI 1245552421
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1526342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1073003158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 AVENUE P STE 2A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112044982",
            "telephone_number": "718-421-2782",
            "fax_number": "718-421-2783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 AVENUE P STE 2A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112044982",
            "telephone_number": "718-421-2782",
            "fax_number": "718-421-2783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLGA LIS AUDIOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-15",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "LIS",
        "authorized_official_first_name": "OLGA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-333-1394",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "2355A2700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Audiology Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech/Language/Hearing Specialist/Technologist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Speech/Language/Hearing Specialist/Technologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.