Active NPI
Roseann Marie Bello, AUD
- Audiologist
- Riverhead, NY
National Provider Identifier
1013564764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 002822-1
- Practice address
- 818 E Main St
Riverhead, NY 11901-2563 - Phone
- (631) 369-2808
- Fax
- (631) 369-6900
- NPI assigned
- Aug 19, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | 14000054731 | NY | |
| Audiologist | 231H00000X | 002822-1 | NY | Primary |
Addresses
Primary practice location
818 E Main St
Riverhead, NY 11901-2563
Mailing address
23 S Howell Ave Ste M
Centereach, NY 11720-4445
Phone (631) 284-2299
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191125000930 | NY | Practitioner - Qualified Audiologist | 0042642431 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- 51 Sandalwood Enterprises Inc
Practice addresses (Care Compare)
818 E Main St
Riverhead, NY 11901-2563
Phone (631) 369-2808
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002822 | NY | MD | Art Therapist |
| 14000054731 | NY | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 51 Sandalwood Enterprises, Inc | Current | Accepting new patients | |
| 51 Sandalwood Enterprises Inc | Audiologist-Hearing Aid Fitter | Current | Accepting new patients |
| Northland Hearing Centers, Inc. | Audiologist-Hearing Aid Fitter | Past | Accepting new patients |
Locations
23 S Howell Ave
Ste M
Centereach, NY 11720
Phone (631) 284-2299
818 E Main St
Riverhead, NY 11901
Phone (631) 284-2299
Organizations & group practices 3
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.
-
- Audiologist-Hearing Aid Fitter
- Riverhead, NY
- NPI 1306054234
-
- Specialist
- Patchogue, NY
- NPI 1558348003
-
- Hearing and Speech Clinic/Center
- Sparta, IL
- NPI 1184677791
Audiologist-Hearing Aid Fitter
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566172800000",
"number": "1013564764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 S HOWELL AVE STE M",
"city": "CENTEREACH",
"state": "NY",
"postal_code": "117204445",
"telephone_number": "631-284-2299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "818 E MAIN ST",
"city": "RIVERHEAD",
"state": "NY",
"postal_code": "119012563",
"telephone_number": "631-369-2808",
"fax_number": "631-369-6900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELLO",
"first_name": "ROSEANN",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-19",
"last_updated": "2019-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "NY",
"license": "14000054731",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NY",
"license": "002822-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverhead, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.