Active NPI
Joanne Lynn Dwyer, AU.D., M.S., CCC-A
- Audiologist
- Rio Grande, NJ
National Provider Identifier
1326068065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 41YA00025200
- Practice address
- 1500 Route 47
Rio Grande, NJ 08242-1400 - Phone
- (609) 886-4700
- Fax
- (609) 886-4747
- NPI assigned
- Jul 19, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 41YA00025200 | NJ | Primary |
Addresses
Primary practice location
1500 Route 47
Rio Grande, NJ 08242-1400
Mailing address
PO Box 406153
Atlanta, GA 30384-1876
Phone (609) 886-4700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7130503 | Medicaid | NJ |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41YA00025200 | NJ | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256601600000",
"number": "1326068065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 406153",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303841876",
"telephone_number": "609-886-4700",
"fax_number": "609-653-8465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 ROUTE 47",
"city": "RIO GRANDE",
"state": "NJ",
"postal_code": "082421400",
"telephone_number": "609-886-4700",
"fax_number": "609-886-4747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DWYER",
"first_name": "JOANNE",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "AU.D., M.S., CCC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-19",
"last_updated": "2009-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NJ",
"license": "41YA00025200",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7130503",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rio Grande, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.