Organization Active NPI

Granville Y Brady Jr Aud PA

  • Audiologist
  • East Brunswick, NJ
National Provider Identifier
1548338254
Registry record updated Aug 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
GRANVILLE Y BRADY JR AUD PA
Practice address
10 Auer CT Ste C
East Brunswick, NJ 08816
Phone
(732) 387-2395
Fax
(732) 387-2394
NPI assigned
Dec 1, 2006
Last updated
Aug 16, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2019

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

Authorized official

Name
Dr. Granville York Brady Jr., AUDNPI 1154387645
Title
President
Phone
(732) 387-2395

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

10 Auer CT Ste C
East Brunswick, NJ 08816

Mailing address

10 Auer CT Ste C
East Brunswick, NJ 08816-5848
Phone (732) 387-2395

Other identifiers 2

IdentifierTypeStateIssuer
3297501MedicaidNJ
0051233MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031120000633 NJ Part B Supplier - Clinic/Group Practice 8426952698 Receives reassigned benefits from 1 practitioner
Practice locations: East Brunswick, NJ

National Provider Directory

National Provider Directory

Locations

10 Auer Ct
Ste C
East Brunswick, NJ 08816
Phone (732) 387-2395

223 Route 18
Ste 105
East Brunswick, NJ 08816
Phone (732) 937-6449

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565913600000",
    "number": "1548338254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 AUER CT STE C",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088165848",
            "telephone_number": "732-387-2395",
            "fax_number": "323-872-3947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 AUER CT STE C",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "08816",
            "telephone_number": "732-387-2395",
            "fax_number": "732-387-2394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANVILLE Y BRADY JR AUD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2019-08-16",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "GRANVILLE",
        "authorized_official_middle_name": "YORK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-387-2395",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3297501",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0051233",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; 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.