Individual provider Active NPI

Amy Jaffe, MACCC-A

  • Audiologist
  • Hopewell Junction, NY
National Provider Identifier
1043476112
Registry record updated Jul 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
781-1 Issued in NY
Practice address
822 Route 82
Suite 101
Hopewell Junction, NY 12533-7373
Phone
(845) 227-5033
Fax
(845) 227-3503
NPI assigned
Jul 29, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 781-1 NY Primary

Addresses

Primary practice location

822 Route 82
Suite 101
Hopewell Junction, NY 12533-7373

Mailing address

PO Box 215
Jefferson Valley, NY 10535-0215
Phone (845) 227-5033

Other names 1

  • Miss Amy Goldman Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
000781NYMDPsychoanalyst
781-1NYMDAudiologist

NPI Registry JSON

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

{
    "created_epoch": "1217289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217289600000",
    "number": "1043476112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 215",
            "city": "JEFFERSON VALLEY",
            "state": "NY",
            "postal_code": "105350215",
            "telephone_number": "845-227-5033",
            "fax_number": "845-227-3503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 ROUTE 82",
            "address_2": "SUITE 101",
            "city": "HOPEWELL JUNCTION",
            "state": "NY",
            "postal_code": "125337373",
            "telephone_number": "845-227-5033",
            "fax_number": "845-227-3503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAFFE",
        "first_name": "AMY",
        "name_prefix": "Mrs.",
        "credential": "MACCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-29",
        "last_updated": "2008-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "781-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "GOLDMAN",
            "prefix": "MISS",
            "credential": "MACCC-A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hopewell Junction, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; 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.