Active NPI
Lisa Knicos, AU.D.
- Audiologist
- Allentown, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AT006720
- Practice address
- 1210 S Cedar Crest Blvd Ste 1100
Allentown, PA 18103-6241 - Phone
- (610) 402-7999
- NPI assigned
- Dec 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 000338 | CT | |
| Audiologist-Hearing Aid Fitter | 237600000X | 000338 | CT | |
| Audiologist | 231H00000X | AT006720 | PA | Primary |
Addresses
Primary practice location
1210 S Cedar Crest Blvd Ste 1100
Allentown, PA 18103-6241
Mailing address
2100 Mack Blvd FL 2
Allentown, PA 18103-5622
Phone (484) 884-4500
Other practice location 1
901 Farmington Ave
Ste 3
West Hartford, CT 06119-1418
Phone (860) 586-2111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT, PA
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000338 | CT | MD | Psychologist |
| AT006720 | PA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prohealth Physicians PC | Current | Accepting new patients | |
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Bridgeport Hospital | Past | Accepting new patients | |
| Richard a Levin, MD,DMD,Lawrence J. Fliegelman, M.D.,LLC | Past | Accepting new patients | |
| Ahlbin Centers for Rehabilitation Medicine | Audiologist | Past | Accepting new patients |
Locations
21 South Rd
Farmington, CT 06032
Phone (860) 679-4600
115 Spencer St
Winsted, CT 06098
Phone (860) 738-5810
1210 S Cedar Crest Blvd
Ste 1100
Allentown, PA 18103
Phone (610) 402-7999
1210 S Cedar Crest Blvd
Ste 110
Allentown, PA 18103
Phone (610) 402-7999
2100 Mack Blvd
Fl 2
Allentown, PA 18103
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- NPI 1356494785
-
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674172800000",
"number": "1992863799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 MACK BLVD FL 2",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181035622",
"telephone_number": "484-884-4500",
"fax_number": "860-586-2114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1210 S CEDAR CREST BLVD STE 1100",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181036241",
"telephone_number": "610-402-7999"
}
],
"practiceLocations": [
{
"address_1": "901 FARMINGTON AVE",
"address_2": "STE 3",
"address_purpose": "LOCATION",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061191418",
"country_code": "US",
"telephone_number": "860-586-2111",
"fax_number": "860-586-2114",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KNICOS",
"first_name": "LISA",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-05",
"last_updated": "2023-01-20",
"certification_date": "2023-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CT",
"license": "000338",
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "CT",
"license": "000338",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "PA",
"license": "AT006720",
"primary": true
}
],
"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 Jan 20, 2023; 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.