Individual provider Active NPI

Kathryn Li Dubois

  • Audiologist
  • Sewell, NJ
National Provider Identifier
1639809098
Registry record updated Jun 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Practice address
570 Egg Harbor Rd Ste B2
Sewell, NJ 08080-2359
Phone
(856) 497-7383
NPI assigned
Jun 16, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X Primary

Addresses

Primary practice location

570 Egg Harbor Rd Ste B2
Sewell, NJ 08080-2359

Mailing address

1952 Cardinal Lake Dr
Cherry Hill, NJ 08003-2904
Phone (856) 905-7840

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220825000923 NJ Practitioner - Qualified Audiologist 5193109130 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinical Health Care Associates of New Jersey PCGroup PAC ID 0749180198, 793 clinicians

Practice addresses (Care Compare)

1 Union St
Suite 203
Robbinsville, NJ 08691-4219
Phone (609) 436-5740

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Health Care Associates of New Jersey, P.C. CurrentSince Aug 15, 2022 Accepting new patients
Alliance Otolaryngology and Facial Plastic Surgery LLC Past Accepting new patients

Locations

2 Princess Rd
Ste E
Lawrenceville, NJ 08648
Phone (609) 303-5163

168 Franklin Corner Rd
Unit 110
Lawrenceville, NJ 08648
Phone (609) 299-1279

2 Princess Rd
Lawrenceville, NJ 08648
Phone (609) 448-7300

350 Forsgate Dr
Ste 103
Monroe Twp, NJ 08831
Phone (609) 831-0779

1 Union St
Ste 203
Robbinsville, NJ 08691
Phone (609) 436-5740

570 Egg Harbor Rd
Ste B2
Sewell, NJ 08080
Phone (856) 256-0051

1605 E Evesham Rd
Ste 201
Voorhees, NJ 08043
Phone (856) 304-1114

1001 Sheppard Rd
Voorhees, NJ 08043
Phone (856) 745-9697

1006 Mantua Pike
Woodbury Hts, NJ 08097
Phone (856) 845-6880

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": "1655337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656288000000",
    "number": "1639809098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1952 CARDINAL LAKE DR",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080032904",
            "telephone_number": "856-905-7840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 EGG HARBOR RD STE B2",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802359",
            "telephone_number": "856-497-7383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBOIS",
        "first_name": "KATHRYN",
        "middle_name": "LI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-16",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sewell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; 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.