Active NPI
Sharon Jolly Audiology & Speech Language Pathology, LLC
- Audiologist
- Newburgh, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 000043-1
- Legal business name
- SHARON JOLLY AUDIOLOGY & SPEECH LANGUAGE PATHOLOGY, LLC
- Practice address
- 450 Gidney Ave
Suite 201
Newburgh, NY 12550-3116 - Phone
- (845) 928-2579
- NPI assigned
- May 26, 2009
- Last updated
- Nov 26, 2013
- 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
- Sharon A Jolly, MA CCC/SLP
- Title
- Owner
- Phone
- (845) 928-2579
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 000043-1 | NY | Primary |
| Speech-Language Pathologist | 235Z00000X | 003002-1 | NY |
Addresses
Primary practice location
450 Gidney Ave
Suite 201
Newburgh, NY 12550-3116
Mailing address
PO Box 368
Central Valley, NY 10917-0368
Phone (845) 928-2579
National Provider Directory
National Provider DirectoryLocations
19 Dewitt St
Middletown, NY 10940
Phone (845) 341-0666
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Audiologist
- Newburgh, NY
- NPI 1952570731
-
- Clinical Social Worker
- Middletown, NY
- NPI 1447326897
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243296000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1385424000000",
"number": "1942435607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 368",
"city": "CENTRAL VALLEY",
"state": "NY",
"postal_code": "109170368",
"telephone_number": "845-928-2579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 GIDNEY AVE",
"address_2": "SUITE 201",
"city": "NEWBURGH",
"state": "NY",
"postal_code": "125503116",
"telephone_number": "845-928-2579"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHARON JOLLY AUDIOLOGY & SPEECH LANGUAGE PATHOLOGY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-26",
"last_updated": "2013-11-26",
"status": "A",
"authorized_official_last_name": "JOLLY",
"authorized_official_first_name": "SHARON",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "845-928-2579",
"authorized_official_credential": "MA CCC/SLP"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NY",
"license": "000043-1",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "003002-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newburgh, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.