Organization Active NPI

Irene Safir Audiology PC

  • Audiologist-Hearing Aid Fitter
  • Ridgewood, NY
National Provider Identifier
1003186990
Registry record updated Jan 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
001226-1 Issued in NY
Legal business name
IRENE SAFIR AUDIOLOGY PC
Practice address
5519 Metropolitan Ave
Ridgewood, NY 11385-1224
Phone
(718) 416-3277
Fax
(718) 456-1491
NPI assigned
Jan 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2012

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

Authorized official

Name
Ms. Lisa Zollman, CCC-ANPI 1669597761
Title
President/Owner
Phone
(718) 416-3277

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid FitterGroup: 193400000X SINGLE SPECIALTY GROUP 237600000X 001226-1 NY Primary

Addresses

Primary practice location

5519 Metropolitan Ave
Ridgewood, NY 11385-1224

Mailing address

5519 Metropolitan Ave
Ridgewood, NY 11385-1224
Phone (718) 416-3277

Other identifiers 1

IdentifierTypeStateIssuer
01987475MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120516000278 NY Part B Supplier - Clinic/Group Practice 0345403036 Receives reassigned benefits from 1 practitioner
Practice locations: Ridgewood, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1326067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326067200000",
    "number": "1003186990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5519 METROPOLITAN AVE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113851224",
            "telephone_number": "718-416-3277",
            "fax_number": "718-456-1491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5519 METROPOLITAN AVE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113851224",
            "telephone_number": "718-416-3277",
            "fax_number": "718-456-1491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRENE SAFIR AUDIOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-09",
        "last_updated": "2012-01-09",
        "status": "A",
        "authorized_official_last_name": "ZOLLMAN",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "718-416-3277",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CCC-A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NY",
            "license": "001226-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01987475",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2012; 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.