Active NPI
Modern Audiology
- Audiologist
- Great Neck, NY
National Provider Identifier
1841596624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 11881
- Legal business name
- MODERN AUDIOLOGY
- Practice address
- 4 W Mill Dr
Apt 1H
Great Neck, NY 11021-4054 - Phone
- (516) 305-4404
- NPI assigned
- Jan 27, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sharon Lynn Judlowitz, AU.D.
- Title
- Owner
- Phone
- (516) 305-4404
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 11881 | NY | Primary |
Addresses
Primary practice location
4 W Mill Dr
Apt 1H
Great Neck, NY 11021-4054
Mailing address
4 W Mill Dr
Apt 1H
Great Neck, NY 11021-4054
Phone (516) 305-4404
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296086400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1296086400000",
"number": "1841596624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 W MILL DR",
"address_2": "APT 1H",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110214054",
"telephone_number": "516-305-4404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 W MILL DR",
"address_2": "APT 1H",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110214054",
"telephone_number": "516-305-4404"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MODERN AUDIOLOGY",
"organizational_subpart": "NO",
"enumeration_date": "2011-01-27",
"last_updated": "2011-01-27",
"status": "A",
"authorized_official_last_name": "JUDLOWITZ",
"authorized_official_first_name": "SHARON",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "516-305-4404",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "AU.D."
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Audiologist",
"state": "NY",
"license": "11881",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Great Neck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.