Individual provider Active NPI

Lisa J. Kucsan, M.S. CCC-A

  • Audiologist
  • Allentown, PA
National Provider Identifier
1942475272
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AT000663L Issued in PA
Practice address
101 N Cedar Crest Blvd
Allentown, PA 18104-4769
Phone
(610) 439-1196
Fax
(610) 434-2200
NPI assigned
Apr 28, 2008
Last updated
Nov 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AT000663L PA Primary
Audiologist-Hearing Aid Fitter 237600000X AT000663L PA

Addresses

Primary practice location

101 N Cedar Crest Blvd
Allentown, PA 18104-4769

Mailing address

101 N Cedar Crest Blvd
Allentown, PA 18104-4769
Phone (610) 439-1196

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080911000160 PA Practitioner - Qualified Audiologist 8123194438 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allen Audiology LLCGroup PAC ID 9436515566, 2 clinicians

Practice addresses (Care Compare)

101 N Cedar Crest Blvd
Allentown, PA 18104-4769
Phone (610) 439-1196

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Allen Audiology LLC Audiologist CurrentSince Jan 4, 2023 Accepting new patients

Locations

101 N Cedar Crest Blvd
Allentown, PA 18104
Phone (610) 439-1196

401 N 17th St
Ste 101
Allentown, PA 18104
Phone (610) 432-8551

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": "1209340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1942475272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N CEDAR CREST BLVD",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181044769",
            "telephone_number": "610-439-1196",
            "fax_number": "610-434-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N CEDAR CREST BLVD",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181044769",
            "telephone_number": "610-439-1196",
            "fax_number": "610-434-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUCSAN",
        "first_name": "LISA",
        "middle_name": "J.",
        "name_prefix": "Mrs.",
        "credential": "M.S. CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-28",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "PA",
            "license": "AT000663L",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "PA",
            "license": "AT000663L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; 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.