Active NPI
Alla Avdashchenko, MA, CCC-A
- Audiologist
- Bronx, NY
National Provider Identifier
1013091735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 001778
- Practice address
- 1400 Pelham Pkwy S
Building 1, Room 5N1
Bronx, NY 10461-1138 - Phone
- (718) 918-6275
- NPI assigned
- Oct 25, 2006
- Sex
- Female
- 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 | 001778 | NY | Primary |
Addresses
Primary practice location
1400 Pelham Pkwy S
Building 1, Room 5N1
Bronx, NY 10461-1138
Mailing address
2006 Benson Ave
Apt.3G
Brooklyn, NY 11214-4847
Phone (718) 946-3825
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001778 | NY | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013091735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2006 BENSON AVE",
"address_2": "APT.3G",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112144847",
"telephone_number": "718-946-3825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 PELHAM PKWY S",
"address_2": "BUILDING 1, ROOM 5N1",
"city": "BRONX",
"state": "NY",
"postal_code": "104611138",
"telephone_number": "718-918-6275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVDASHCHENKO",
"first_name": "ALLA",
"credential": "MA, CCC-A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NY",
"license": "001778",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.