Active NPI
Kim Loan Huynh
- Audiologist
- Jenkintown, PA
National Provider Identifier
1275916421
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AT006416
- Practice address
- 261 Old York Rd Ste 215
Jenkintown, PA 19046-3724 - Phone
- (267) 982-7685
- Fax
- (215) 215-9356
- NPI assigned
- Jul 7, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AT006416 | PA | Primary |
Addresses
Primary practice location
261 Old York Rd Ste 215
Jenkintown, PA 19046-3724
Mailing address
12 Old Cedarbrook Rd
Wyncote, PA 19095-2040
Phone (267) 627-2741
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151113000073 | PA | Practitioner - Qualified Audiologist | 3173839222 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Otolaryngology Associates PC | Current | Accepting new patients |
Locations
8350 Roosevelt Blvd
Philadelphia, PA 19152
Phone (215) 331-6878
205 N Broad St
Ste 401
Philadelphia, PA 19107
Phone (215) 569-3155
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": "1436227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576800000000",
"number": "1275916421",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 OLD CEDARBROOK RD",
"city": "WYNCOTE",
"state": "PA",
"postal_code": "190952040",
"telephone_number": "267-627-2741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "261 OLD YORK RD STE 215",
"city": "JENKINTOWN",
"state": "PA",
"postal_code": "190463724",
"telephone_number": "267-982-7685",
"fax_number": "215-215-9356"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUYNH",
"first_name": "KIM LOAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-07",
"last_updated": "2019-12-20",
"certification_date": "2019-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "PA",
"license": "AT006416",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jenkintown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.