Active NPI
Irene Safir Audiology PC
- Audiologist-Hearing Aid Fitter
- Ridgewood, NY
National Provider Identifier
1003186990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- 001226-1
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Lisa Zollman, CCC-A
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01987475 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Audiologist
- Ridgewood, NY
- NPI 1669597761
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.