Organization Active NPI

Yudelson Hearing Aid, Inc.

  • Audiologist
  • Smithtown, NY
National Provider Identifier
1194094813
Registry record updated Dec 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
000737-1 Issued in NY
Legal business name
YUDELSON HEARING AID, INC.
Practice address
90 Lawrence Ave
Suite 1
Smithtown, NY 11787-3630
Phone
(631) 979-2419
Fax
(631) 979-2203
NPI assigned
Dec 27, 2011
Last updated
Dec 27, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2011

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

Authorized official

Name
Ms. Patti Yudelson, RN
Title
President
Phone
(631) 979-2419

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 000737-1 NY Primary

Addresses

Primary practice location

90 Lawrence Ave
Suite 1
Smithtown, NY 11787-3630

Mailing address

90 Lawrence Ave
Suite 1
Smithtown, NY 11787-3630
Phone (631) 979-2419

National Provider Directory

National Provider Directory

Locations

90 Lawrence Ave
Smithtown, NY 11787
Phone (631) 979-2419

90 Lawrence Ave
Ste 1
Smithtown, NY 11787
Phone (631) 979-2419

NPI Registry JSON

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

{
    "created_epoch": "1324944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324944000000",
    "number": "1194094813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 LAWRENCE AVE",
            "address_2": "SUITE 1",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873630",
            "telephone_number": "631-979-2419",
            "fax_number": "631-979-2203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 LAWRENCE AVE",
            "address_2": "SUITE 1",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873630",
            "telephone_number": "631-979-2419",
            "fax_number": "631-979-2203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YUDELSON HEARING AID, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-27",
        "last_updated": "2011-12-27",
        "status": "A",
        "authorized_official_last_name": "YUDELSON",
        "authorized_official_first_name": "PATTI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-979-2419",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "000737-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2011; 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.