Active NPI
Deborah J Lynn, PH.D.
- Audiologist
- Goshen, NY
National Provider Identifier
1447309034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 0004801
- Practice address
- 30 Matthews St
Suite 307
Goshen, NY 10924-1988 - Phone
- (845) 294-8544
- Fax
- (845) 294-3117
- NPI assigned
- Jan 10, 2007
- Last updated
- Sep 28, 2016
- 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 | 0004801 | NY | Primary |
Addresses
Primary practice location
30 Matthews St
Suite 307
Goshen, NY 10924-1988
Mailing address
30 Matthews St.,
Suite 307
Goshen, NY 10924-1988
Phone (845) 294-8544
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 640002367 | Other | NY | RRMC |
| DLOMO31820 | Other | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
50 Warwick Ave
Cranston, RI 02905-3540
Phone (401) 461-1444
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000480 | NY | MD | Midwife |
| 0004801 | NY | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carelink, Inc. | Current | Accepting new patients | |
| Carelink, Inc. | Current | Accepting new patients | |
| Carelink, Inc. | Current | Accepting new patients | |
| Hudson Valley Audiology PC | Current | Accepting new patients |
Locations
15 Matthews St
Ste 203
Goshen, NY 10924
Phone (845) 294-8544
400 Massasoit Ave
Ste 300B
East Providence, RI 02914
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- Audiologist
- Goshen, NY
- NPI 1508144643
-
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- Pomona, NY
- NPI 1841624517
-
- Podiatrist
- East Providence, RI
- NPI 1104439561
-
- Psychiatry Physician
- East Providence, RI
- NPI 1811591597
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475020800000",
"number": "1447309034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 MATTHEWS ST.,",
"address_2": "SUITE 307",
"city": "GOSHEN",
"state": "NY",
"postal_code": "109241988",
"telephone_number": "845-294-8544",
"fax_number": "845-294-3117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 MATTHEWS ST",
"address_2": "SUITE 307",
"city": "GOSHEN",
"state": "NY",
"postal_code": "109241988",
"telephone_number": "845-294-8544",
"fax_number": "845-294-3117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYNN",
"first_name": "DEBORAH",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-10",
"last_updated": "2016-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NY",
"license": "0004801",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRMC",
"identifier": "640002367",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "DLOMO31820",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Goshen, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2016; 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.