NPIMap

Organization Active NPI

Lisa Predmore Aud PC

Doing business as Lisa Predmore Aud

  • Audiologist
  • Manhasset, NY
National Provider Identifier
1073857660
Registry record updated Nov 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
LISA PREDMORE AUD PC
Doing business as
Lisa Predmore Aud
Practice address
1165 Northern Blvd Ste 302
Manhasset, NY 11030-3048
Phone
(516) 627-7600
Fax
(516) 627-6378
NPI assigned
Nov 20, 2012
Last updated
Nov 20, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2012

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

Authorized official

Name
Lisa PredmoreNPI 1043290190
Title
Owner
Phone
(516) 627-7600

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
Audiologist 231H00000X Primary
Hearing Instrument Specialist 237700000X

Addresses

Primary practice location

1165 Northern Blvd Ste 302
Manhasset, NY 11030-3048

Mailing address

1165 Northern Blvd Ste 302
Manhasset, NY 11030-3048
Phone (516) 627-7600

Other names 1

  • LISA PREDMORE AUD Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lisa C Predmore Aud PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1165 Northern Blvd
Ste 302
Manhasset, NY 11030
Phone (516) 496-7302

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1353369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353369600000",
    "number": "1073857660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1165 NORTHERN BLVD STE 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 STE 302",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303048",
            "telephone_number": "516-627-7600",
            "fax_number": "516-627-6378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA PREDMORE AUD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-20",
        "last_updated": "2012-11-20",
        "status": "A",
        "authorized_official_last_name": "PREDMORE",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-627-7600"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LISA PREDMORE AUD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manhasset, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2012; 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.