Audslp Diagnostic and Rehabilitation Clinic

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

AUDSLP DIAGNOSTIC AND REHABILITATION CLINIC

Practice address

One Broadway
Suite 302
Elmwood Park, NJ 07407

Phone

(201) 773-8962

Fax

(201) 773-8963

NPI assigned

Feb 11, 2011

Last updated

Jan 29, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Dolores Boisselle, AUDNPI 1851535934

Title

Audiologist

Phone

(973) 903-9314

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Tax ID family

Audslp Diagnostic and Rehabilitation Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Audslp Diagnostic and Rehabilitation Clinic

  dba Audslp Diagnostic and Rehabilitation Clinic 2

  • Audiologist
  • Elmwood Park, NJ
  • NPI 1275005852
  NPD tax ID

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dolores R. Boisselle, AUD

  • Audiologist
  • Elmwood Park, NJ
  • NPI 1851535934
  Medicare reassignment NPD Authorized official
• Ashley Alexandria Brown, AUD

  • Audiologist
  • Florham Park, NJ
  • NPI 1013624717
  Medicare reassignment NPD
• Nicole Chae Friedman, AUD

  • Audiologist
  • Hoboken, NJ
  • NPI 1013539220
  Medicare reassignment NPD
• Bomee Kim

  • Audiologist
  • Elmwood Park, NJ
  • NPI 1578301388
  Medicare reassignment NPD
• Kimberly Zurla

  • Audiologist
  • Suffern, NY
  • NPI 1750816492

  NJ

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1297382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706486400000",
    "number": "1891092755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE BROADWAY",
            "address_2": "SUITE 302",
            "city": "ELMWOOD PARK",
            "state": "NJ",
            "postal_code": "07407",
            "telephone_number": "201-773-8962",
            "fax_number": "201-773-8963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE BROADWAY",
            "address_2": "SUITE 302",
            "city": "ELMWOOD PARK",
            "state": "NJ",
            "postal_code": "07407",
            "telephone_number": "201-773-8962",
            "fax_number": "201-773-8963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUDSLP DIAGNOSTIC AND REHABILITATION CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-11",
        "last_updated": "2024-01-29",
        "status": "A",
        "authorized_official_last_name": "BOISSELLE",
        "authorized_official_first_name": "DOLORES",
        "authorized_official_title_or_position": "AUDIOLOGIST",
        "authorized_official_telephone_number": "973-903-9314",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Apex Health Solutions LLC
• Ar-Da Medical Transport LLC
• Jahlyn A Aranda, OTR
• Atmiya Adult Day Care LLC
• Audslp Diagnostic and Rehabilitation Clinic (Audslp Diagnostic and Rehabilitation Clinic 2)
• Jordan August, PT, DPT
• Karyn Austin, MSN, APN, CPNP
• Kaylee Barber, MS, CGC
• Mireya Barrera Hernandez, BSN/ RNFA
• Ontia Barrett

• Clinic/Center in Elmwood Park, NJ
• Providers in Elmwood Park, NJ by specialty
• Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.