Organization Active NPI

Queens Audiology, PLLC

  • Audiologist
  • Astoria, NY
National Provider Identifier
1023322120
Registry record updated Feb 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
001479-1 Issued in NY
Legal business name
QUEENS AUDIOLOGY, PLLC
Practice address
3016 30TH Dr
4TH Floor
Astoria, NY 11102-1874
Phone
(718) 728-7800
Fax
(718) 728-7803
NPI assigned
Jul 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2013

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

Authorized official

Name
Joanna Roufos, AUDNPI 1073778700
Title
Owner
Phone
(718) 728-7800

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 231H00000X 001479-1 NY Primary
Audiologist-Hearing Aid FitterGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 237600000X 14000022298 NY

Addresses

Primary practice location

3016 30TH Dr
4TH Floor
Astoria, NY 11102-1874

Mailing address

3016 30TH Dr
4TH Floor
Astoria, NY 11102-1874
Phone (718) 728-7800

National Provider Directory

National Provider Directory
Tax ID family
Manhattan Audiology4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the 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": "1280448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361750400000",
    "number": "1023322120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3016 30TH DR",
            "address_2": "4TH FLOOR",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111021874",
            "telephone_number": "718-728-7800",
            "fax_number": "718-728-7803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3016 30TH DR",
            "address_2": "4TH FLOOR",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111021874",
            "telephone_number": "718-728-7800",
            "fax_number": "718-728-7803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENS AUDIOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-30",
        "last_updated": "2013-02-25",
        "status": "A",
        "authorized_official_last_name": "ROUFOS",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-728-7800",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": "NY",
            "license": "001479-1",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NY",
            "license": "14000022298",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2013; 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.