Individual provider Active NPI

Erika Lyn Johnson, AU.D.

  • Audiologist
  • New York, NY
National Provider Identifier
1184899601
Registry record updated Apr 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
001933 Issued in NY
Practice address
364 E 69TH St
New York, NY 10021-5706
Phone
(212) 249-3232
NPI assigned
Apr 25, 2008
Last updated
Apr 25, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 001933 NY Primary

Addresses

Primary practice location

364 E 69TH St
New York, NY 10021-5706

Mailing address

364 E 69TH St
New York, NY 10021-5706
Phone (212) 249-3232

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111229000496 FL Practitioner - Qualified Audiologist 3072674084 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
University of Florida College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Otolaryngology Group, P.a.Group PAC ID 7618911306, 12 clinicians

Practice addresses (Care Compare)

1781 Park Ctr Dr
Suite 210
Orlando, FL 32835-6254
Phone (407) 351-0675

7251 University Blvd
Suite 300
Winter Park, FL 32792-8659
Phone (407) 677-0099

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Otolaryngology Group, P.a. CurrentSince Oct 1, 2011 Accepting new patients
Sujana Chandrasekhar, MD Audiologist Past Accepting new patients

Locations

1781 Park Center Dr
Ste 210
Orlando, FL 32835
Phone (407) 351-0675

7251 University Blvd
Ste 300
Winter Park, FL 32792
Phone (407) 677-0099

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209081600000",
    "number": "1184899601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "364 E 69TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100215706",
            "telephone_number": "212-249-3232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "364 E 69TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100215706",
            "telephone_number": "212-249-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ERIKA",
        "middle_name": "LYN",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-25",
        "last_updated": "2008-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "001933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; 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.