Individual provider Active NPI

Lynnann S O'Bray-Donohue, AUD

  • Audiologist
  • Port Jefferson Station, NY
National Provider Identifier
1770606097
Registry record updated May 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
001038 Issued in NY
Practice address
4747-8 Nesconset Hwy
Port Jefferson Station, NY 11776-2878
Phone
(631) 331-6455
NPI assigned
Apr 10, 2007
Last updated
May 15, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 001038 NY Primary

Addresses

Primary practice location

4747-8 Nesconset Hwy
Port Jefferson Station, NY 11776-2878

Mailing address

4747-8 Nesconset Hwy
Port Jefferson Station, NY 11776-2878
Phone (631) 331-6455

Other names 1

  • Mrs. Lynnann S O'Bray Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090514000477 NY Practitioner - Qualified Audiologist 2961551320 Practice locations: Port Jefferson Station, NY

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4747-8 Nesconset Hwy
Port Jefferson Station, NY 11776
Phone (631) 331-6455

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
East End Hearing and Speech Audiologist Past Accepting new patients

Organizations & group practices 1

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": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242345600000",
    "number": "1770606097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4747-8 NESCONSET HWY",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117762878",
            "telephone_number": "631-331-6455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4747-8 NESCONSET HWY",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117762878",
            "telephone_number": "631-331-6455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRAY-DONOHUE",
        "first_name": "LYNNANN",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2009-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "001038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNNANN",
            "last_name": "O'BRAY",
            "middle_name": "S",
            "prefix": "MRS.",
            "credential": "AUD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Port Jefferson Station, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2009; 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.