Organization Active NPI

Maxine L. Young, Au.D., LLC

  • Audiologist
  • Broomall, PA
National Provider Identifier
1275929945
Registry record updated Apr 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AT000136L Issued in PA
Legal business name
MAXINE L. YOUNG, AU.D., LLC
Practice address
2000 Sproul Rd
Suite 310
Broomall, PA 19008-3509
Phone
(610) 353-6008
NPI assigned
Apr 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2015

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

Authorized official

Name
Dr. Maxine L Young, AU.D.
Title
Manager Owner
Phone
(610) 353-6008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X AT000136L PA Primary

Addresses

Primary practice location

2000 Sproul Rd
Suite 310
Broomall, PA 19008-3509

Mailing address

2000 Sproul Rd
Suite 310
Broomall, PA 19008-3509
Phone (610) 353-6008

National Provider Directory

National Provider Directory

Locations

2000 Sproul Rd
Ste 310
Broomall, PA 19008
Phone (610) 353-6008

NPI Registry JSON

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

{
    "created_epoch": "1428537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428537600000",
    "number": "1275929945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 SPROUL RD",
            "address_2": "SUITE 310",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "190083509",
            "telephone_number": "610-353-6008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 SPROUL RD",
            "address_2": "SUITE 310",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "190083509",
            "telephone_number": "610-353-6008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXINE L. YOUNG, AU.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-09",
        "last_updated": "2015-04-09",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "MAXINE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGER OWNER",
        "authorized_official_telephone_number": "610-353-6008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "PA",
            "license": "AT000136L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomall, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2015; 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.