Individual provider Active NPI

Lauren Elizabeth Solliday, AU.D.

  • Audiologist
  • Port Jefferson, NY
National Provider Identifier
1265836001
Registry record updated Nov 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
002567-1 Issued in NY
Practice address
251 E Oakland Ave
Suite 203- ENT and Allergy
Port Jefferson, NY 11777-2602
Phone
(631) 828-7001
NPI assigned
Oct 21, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 002567-1 NY Primary

Addresses

Primary practice location

251 E Oakland Ave
Suite 203- ENT and Allergy
Port Jefferson, NY 11777-2602

Mailing address

560 White Plains Road - Enta
Suite 500
Tarrytown, NY 10591-5112
Phone (914) 984-2534

Other identifiers 1

IdentifierTypeStateIssuer
002567OtherNYLICENSE NUMBER

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
002567-1NYMDRegistered Respiratory Therapist

NPI Registry JSON

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

{
    "created_epoch": "1413849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415750400000",
    "number": "1265836001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 WHITE PLAINS ROAD - ENTA",
            "address_2": "SUITE 500",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105915112",
            "telephone_number": "914-984-2534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 E OAKLAND AVE",
            "address_2": "SUITE 203- ENT AND ALLERGY",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117772602",
            "telephone_number": "631-828-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLLIDAY",
        "first_name": "LAUREN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-21",
        "last_updated": "2014-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "002567-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "002567",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Jefferson, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2014; 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.