Active NPI
Judith Aull, LMT
- General Practice Physician
- West Babylon, NY
National Provider Identifier
1700248507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 029429-1
- Practice address
- 74 Broadway
West Babylon, NY 11704-5410 - Phone
- (631) 539-7422
- NPI assigned
- Mar 22, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 029429-1 | NY | Primary |
Addresses
Primary practice location
74 Broadway
West Babylon, NY 11704-5410
Mailing address
74 Broadway
West Babylon, NY 11704-5410
Phone (631) 539-7422
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 029429-1 | NY | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458604800000",
"number": "1700248507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "74 BROADWAY",
"city": "WEST BABYLON",
"state": "NY",
"postal_code": "117045410",
"telephone_number": "631-539-7422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "74 BROADWAY",
"city": "WEST BABYLON",
"state": "NY",
"postal_code": "117045410",
"telephone_number": "631-539-7422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AULL",
"first_name": "JUDITH",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-03-22",
"last_updated": "2016-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NY",
"license": "029429-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Babylon, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.