Active NPI
Joseph V Mulryan, AUDIOLOGIST
- Audiologist
- Middle Village, NY
National Provider Identifier
1003067927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 001395
- Practice address
- 7506 Eliot Ave
Middle Village, NY 11379-1207 - Phone
- (718) 335-2224
- NPI assigned
- Oct 9, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 001395 | NY | Primary |
Addresses
Primary practice location
7506 Eliot Ave
Middle Village, NY 11379-1207
Mailing address
21 Collins Ave
Kings Park, NY 11754-2601
Phone (718) 938-4297
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001395 | NY | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Digital Audiology Associates P C | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Hearing and Speech Clinic/Center
- Middle Village, NY
- NPI 1235382078
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303344000000",
"number": "1003067927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 COLLINS AVE",
"city": "KINGS PARK",
"state": "NY",
"postal_code": "117542601",
"telephone_number": "718-938-4297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7506 ELIOT AVE",
"city": "MIDDLE VILLAGE",
"state": "NY",
"postal_code": "113791207",
"telephone_number": "718-335-2224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULRYAN",
"first_name": "JOSEPH",
"middle_name": "V",
"name_prefix": "Dr.",
"credential": "AUDIOLOGIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-10-09",
"last_updated": "2011-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NY",
"license": "001395",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Middle Village, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.