Bruce D Yudelson, DOCTOR OF AUDIOLOGY

Primary specialty

AudiologistTaxonomy code 231H00000X

License

737 Issued in NY

Practice address

90 Lawrence Ave
Suite 1
Smithtown, NY 11787

Phone

(631) 979-2419

Fax

(631) 979-2203

NPI assigned

Nov 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321833600000",
    "number": "1245305887",
    "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": "11787",
            "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": "11787",
            "telephone_number": "631-979-2419",
            "fax_number": "631-979-2203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUDELSON",
        "first_name": "BRUCE",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DOCTOR OF AUDIOLOGY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2011-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "737",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NY",
            "license": "737",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexa Rose Yoos, LMSW
• Wendy R Young-Gomerman, D.P.M.
• Elizabeth Young-Yuknis, R.N..
• Lauren Cristi Young, LMSW
• Yudelson Hearing Aid, Inc.
• Laurie Yuditsky, RN, MBA, BSN
• Gabriella Zanne, LCSW
• Lauren Susanna Zeidner-Rodriguez, NYCPS-P
• Erica Zeller, LCSW
• Cynthia C. Zenner-Rubesh, OTR/L

• Audiologist in Smithtown, NY
• Providers in Smithtown, NY by specialty
• Audiologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.