Individual provider Active NPI

Deborah J Lynn, PH.D.

  • Audiologist
  • Goshen, NY
National Provider Identifier
1447309034
Registry record updated Sep 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
0004801 Issued in NY
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, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
640002367OtherNYRRMC
DLOMO31820OtherBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240620001833 RI Practitioner - Qualified Audiologist 2769649557 Reassigns benefits to 1 organization

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
Carelink, Inc.Group PAC ID 4688751522, 3 clinicians

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

LicenseStateTypeSpecialty
000480NYMDMidwife
0004801NYMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Carelink, Inc. CurrentSince May 14, 2024 Accepting new patients
Carelink, Inc. Current Accepting new patients
Carelink, Inc. CurrentSince May 14, 2024 Accepting new patients
Hudson Valley Audiology PC CurrentSince May 13, 2024 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

  • FHIR API: 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.

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.

Verify at the official NPI Registry.