Organization Active NPI

Lyndhurst Audiology Associates. LLC

  • Hearing and Speech Clinic/Center
  • Lyndhurst, NJ
National Provider Identifier
1144628280
Registry record updated Dec 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
License
41YA00002900 Issued in NJ
Legal business name
LYNDHURST AUDIOLOGY ASSOCIATES. LLC
Practice address
537 New York Ave
Lyndhurst, NJ 07071-1506
Phone
(201) 819-3707
NPI assigned
Dec 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2014

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

Authorized official

Name
Mr. Kirk Knutsen, M.S.NPI 1104944594
Title
Audiologist/Owner
Phone
(201) 819-3707

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X 41YA00002900 NJ Primary

Addresses

Primary practice location

537 New York Ave
Lyndhurst, NJ 07071-1506

Mailing address

537 New York Ave
Lyndhurst, NJ 07071-1506
Phone (201) 819-3707

Other identifiers 1

IdentifierTypeStateIssuer
0145254MedicaidNJ

National Provider Directory

National Provider Directory

Locations

537 New York Ave
Lyndhurst, NJ 07071
Phone (201) 819-3707

Practitioners & affiliated clinicians

Practitioners 1

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": "1417737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417737600000",
    "number": "1144628280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "537 NEW YORK AVE",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070711506",
            "telephone_number": "201-819-3707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "537 NEW YORK AVE",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070711506",
            "telephone_number": "201-819-3707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNDHURST AUDIOLOGY ASSOCIATES. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-05",
        "last_updated": "2014-12-05",
        "status": "A",
        "authorized_official_last_name": "KNUTSEN",
        "authorized_official_first_name": "KIRK",
        "authorized_official_title_or_position": "AUDIOLOGIST/OWNER",
        "authorized_official_telephone_number": "201-819-3707",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "NJ",
            "license": "41YA00002900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0145254",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lyndhurst, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2014; 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.