Organization Active NPI

Audiology 2000 Inc

  • Audiologist
  • New York, NY
National Provider Identifier
1437148129
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
AUDIOLOGY 2000 INC
Practice address
34 East 67TH St
Ste 4-F Audiology 2000 Inc
New York, NY 10021
Phone
(212) 628-2710
Fax
(212) 628-3580
NPI assigned
Oct 17, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Therese Deierlein, AUD CCCDNPI 1043201734
Title
President Audiology 2000 Inc
Phone
(201) 836-8058

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193200000X MULTI-SPECIALTY GROUP 231H00000X Primary

Addresses

Primary practice location

34 East 67TH St
Ste 4-F Audiology 2000 Inc
New York, NY 10021

Mailing address

250 Fort Lee Rd
#C Audiology 2000 Inc
Teaneck, NJ 07666
Phone (201) 836-8058

Other identifiers 8

IdentifierTypeStateIssuer
2394820OtherUNITED HEALTHCARE
4899742OtherGHI
6988043OtherCIGNA
1000044420OtherAFFINITY HEALTH PLANS
P3163299OtherOXFORD
M8W861OtherGROUP #
3C5894OtherHEALTHNET
M73741OtherEMPIRE BCBS THERESE D

Other names 1

  • S-Cordonamun Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050412001399 NY Part B Supplier - Clinic/Group Practice 3779530654 Receives reassigned benefits from 2 practitioners
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

34 E 67th St
Ofc 4F
New York, NY 10065
Phone (212) 628-2710

34 E 67th St
Fl 2
New York, NY 10065

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437148129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 FORT LEE RD",
            "address_2": "#C AUDIOLOGY 2000 INC",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "07666",
            "telephone_number": "201-836-8058",
            "fax_number": "201-836-8057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 EAST 67TH ST",
            "address_2": "STE 4-F AUDIOLOGY 2000 INC",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10021",
            "telephone_number": "212-628-2710",
            "fax_number": "212-628-3580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUDIOLOGY 2000 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEIERLEIN",
        "authorized_official_first_name": "THERESE",
        "authorized_official_title_or_position": "PRESIDENT AUDIOLOGY 2000 INC",
        "authorized_official_telephone_number": "201-836-8058",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AUD CCCD"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2394820",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "4899742",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6988043",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AFFINITY HEALTH PLANS",
            "identifier": "1000044420",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P3163299",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP #",
            "identifier": "M8W861",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "3C5894",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BCBS THERESE D",
            "identifier": "M73741",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "S-Cordonamun",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.

Verify at the official NPI Registry.