Active NPI
Elizabeth Lanza, M.S.
- Assistive Technology Practitioner Audiologist
- Ridgewood, NJ
National Provider Identifier
1073646956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistive Technology Practitioner Audiologist
- License
- 41YA00017300
- Practice address
- 505 Goffle Rd
Ridgewood, NJ 07450-4027 - Phone
- (201) 612-1006
- NPI assigned
- Mar 13, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Assistive Technology Practitioner Audiologist | 231HA2400X | 41YA00017300 | NJ | Primary |
Addresses
Primary practice location
505 Goffle Rd
Ridgewood, NJ 07450-4027
Mailing address
51 Merrill Dr
Mahwah, NJ 07430-2973
Phone (201) 848-0262
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41YA00017300 | NJ | MD | Assistive Technology Practitioner Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073646956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51 MERRILL DR",
"city": "MAHWAH",
"state": "NJ",
"postal_code": "074302973",
"telephone_number": "201-848-0262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 GOFFLE RD",
"city": "RIDGEWOOD",
"state": "NJ",
"postal_code": "074504027",
"telephone_number": "201-612-1006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANZA",
"first_name": "ELIZABETH",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "231HA2400X",
"taxonomy_group": "",
"desc": "Audiologist, Assistive Technology Practitioner",
"state": "NJ",
"license": "41YA00017300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ridgewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.