Active NPI
Audit 101 LLC
- Clinical Medical Laboratory
- Lakewood, NJ
National Provider Identifier
1194486662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- AUDIT 101 LLC
- Practice address
- 525 Countyline Road, Suite 1
Lakewood, NJ 08701-1405 - Phone
- (212) 457-6232
- NPI assigned
- Jan 6, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elimelech Rubin
- Title
- Director
- Phone
- (908) 437-8246
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
525 Countyline Road, Suite 1
Lakewood, NJ 08701-1405
Mailing address
525 Countyline Road, Suite 1
Lakewood, NJ 08701-1405
Phone (212) 457-6232
National Provider Directory
National Provider DirectoryLocations
525 E County Line Rd
Ste 1
Lakewood, NJ 08701
Phone (212) 457-6232
535 E County Line Rd
Ste 1
Lakewood, NJ 08701
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641427200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1649376000000",
"number": "1194486662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 COUNTYLINE ROAD, SUITE 1",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087011405",
"telephone_number": "212-457-6232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 COUNTYLINE ROAD, SUITE 1",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087011405",
"telephone_number": "212-457-6232"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AUDIT 101 LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-01-06",
"last_updated": "2022-04-08",
"certification_date": "2022-04-08",
"status": "A",
"authorized_official_last_name": "RUBIN",
"authorized_official_first_name": "ELIMELECH",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "908-437-8246"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.