Individual provider Active NPI

Jennifer E Long, AUD

  • Audiologist
  • Amherst, NY
National Provider Identifier
1245331263
Registry record updated Sep 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
001800-1 Issued in NY
Practice address
4600 Main St
Suite 201
Amherst, NY 14226-4500
Phone
(716) 833-4488
Fax
(716) 839-1218
NPI assigned
Sep 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 001800-1 NY Primary

Addresses

Primary practice location

4600 Main St
Suite 201
Amherst, NY 14226-4500

Mailing address

4600 Main St
Suite 201
Amherst, NY 14226-4500
Phone (716) 833-4488

Other identifiers 6

IdentifierTypeStateIssuer
9200301OtherNYIHA
0001176701OtherNYUNIVERA
000576119001OtherNYBC/BS AUDIOLOGIST-HARLEM
000580000005OtherNYBC/BS HEARING AID-OP
000576119003OtherNYBC/BS AUDIOLOGIST-OP
000580000003OtherNYBC/BS HEARING AID-HARLEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1800NYMDMental Health Counselor
001800-1NYMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Life Sounds Audiology, Inc CurrentSince Mar 29, 2020 Accepting new patients

Locations

4600 Main St
Ste 201
Snyder, NY 14226
Phone (716) 650-5088

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285027200000",
    "number": "1245331263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 MAIN ST",
            "address_2": "SUITE 201",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142264500",
            "telephone_number": "716-833-4488",
            "fax_number": "716-839-1218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 MAIN ST",
            "address_2": "SUITE 201",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142264500",
            "telephone_number": "716-833-4488",
            "fax_number": "716-839-1218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "JENNIFER",
        "middle_name": "E",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2010-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "001800-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHA",
            "identifier": "9200301",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "0001176701",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS AUDIOLOGIST-HARLEM",
            "identifier": "000576119001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS HEARING AID-OP",
            "identifier": "000580000005",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS AUDIOLOGIST-OP",
            "identifier": "000576119003",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS HEARING AID-HARLEM",
            "identifier": "000580000003",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2010; 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.