Organization Active NPI

Modern Audiology

  • Audiologist
  • Great Neck, NY
National Provider Identifier
1841596624
Registry record updated Jan 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
11881 Issued in NY
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

Updated by the provider on Jan 27, 2011

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)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.