Individual provider Active NPI

Kathleen J Yu, AUD

  • Audiologist
  • Fair Lawn, NJ
National Provider Identifier
1336399575
Registry record updated Jul 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
41YA00048200 Issued in NJ
Practice address
13-19 River Rd
Fair Lawn, NJ 07410-1837
Phone
(201) 703-6800
Fax
(201) 703-6805
NPI assigned
Sep 24, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 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 41YA00048200 NJ Primary

Addresses

Primary practice location

13-19 River Rd
Fair Lawn, NJ 07410-1837

Mailing address

PO Box 23861
Newark, NJ 07189-0861
Phone (201) 692-0500

Other names 1

  • Kathlee J Lee Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091120000523 NJ Practitioner - Qualified Audiologist 7416096086 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gotlieb Hearing Center Limited Liability CompanyGroup PAC ID 0749407203, 4 clinicians

Practice addresses (Care Compare)

13 -19 River Rd
Fair Lawn, NJ 07410-1837
Phone (201) 703-6800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
41YA00048200NJMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Gotlieb Hearing Center Limited Liability Company CurrentSince Jul 15, 2014 Accepting new patients
Gotlieb Hearing Center Audiologist Past Accepting new patients

Locations

13-19A River Rd
Fair Lawn, NJ 07410
Phone (201) 703-6800

Organizations & group practices 2

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": "1222214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404259200000",
    "number": "1336399575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23861",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071890861",
            "telephone_number": "201-692-0500",
            "fax_number": "201-836-7838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13-19 RIVER RD",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074101837",
            "telephone_number": "201-703-6800",
            "fax_number": "201-703-6805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YU",
        "first_name": "KATHLEEN",
        "middle_name": "J",
        "credential": "AUD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-24",
        "last_updated": "2014-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NJ",
            "license": "41YA00048200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEE",
            "last_name": "LEE",
            "middle_name": "J",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fair Lawn, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.