NPIMap

Organization Active NPI

Susan Boggia Audiology, PC

  • Audiologist
  • Glens Falls, NY
National Provider Identifier
1003956053
Registry record updated Dec 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
192 Issued in NY
Legal business name
SUSAN BOGGIA AUDIOLOGY, PC
Practice address
318 Ridge St
Glens Falls, NY 12801-1506
Phone
(518) 798-4800
Fax
(518) 798-4900
NPI assigned
Feb 7, 2007
Last updated
Dec 27, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2010

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

Authorized official

Name
Dr. Susan Boggia, AU.D.NPI 1891834750
Title
Owner
Phone
(518) 798-4800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 192 NY Primary

Addresses

Primary practice location

318 Ridge St
Glens Falls, NY 12801-1506

Mailing address

318 Ridge St
Glens Falls, NY 12801-1506
Phone (518) 798-4800

Other identifiers 5

IdentifierTypeStateIssuer
080318000032OtherFIDELIS
00413681001OtherHEALTH NOW
1613948OtherGHI
M77121OtherEMPIRE BLUECROSS BLUESHIELD
2751396OtherUNITED HEALTH CARE

Other names 1

  • LKE LLC Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293408000000",
    "number": "1003956053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 RIDGE ST",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128011506",
            "telephone_number": "518-798-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 RIDGE ST",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128011506",
            "telephone_number": "518-798-4800",
            "fax_number": "518-798-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN BOGGIA AUDIOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2010-12-27",
        "status": "A",
        "authorized_official_last_name": "BOGGIA",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-798-4800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS",
            "identifier": "080318000032",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NOW",
            "identifier": "00413681001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "1613948",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUECROSS BLUESHIELD",
            "identifier": "M77121",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "2751396",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LKE LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Glens Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.