Tara Bodziak, AU.D

Primary specialty

AudiologistTaxonomy code 231H00000X

License

002745 Issued in NY

Practice address

3085 Southwestern Blvd Ste 103
Orchard Park, NY 14127-1234

Phone

(716) 674-4188

Fax

(716) 674-4834

NPI assigned

Jul 24, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Qualified Audiologist

Education

State University of New York at Buffalo School of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dent Neurologic Group LLPGroup PAC ID 1951298033, 117 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

44.01 of 100Reported as group

Promoting interoperability

0

Improvement activities

40

Cost

80.05

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IHBEAA

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.

• Dent Neurologic Group LLP

  • Neurology Physician
  • Amherst, NY
  • NPI 1497850911
  Medicare reassignment Care Compare group NPD
• Lake Shore Audiology, P C

  • Audiologist-Hearing Aid Fitter
  • Orchard Park, NY
  • NPI 1811052939
  Medicare reassignment NPD
• Dent Neuologic Institute

  • Infusion Therapy Clinic/Center
  • Amherst, NY
  • NPI 1801946488
  NPD (past)
• Rpci Oncology PC

  • Hematology & Oncology Physician
  • Williamsville, NY
  • NPI 1952703985
  NPD (past)

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

{
    "created_epoch": "1500854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1073036927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3085 SOUTHWESTERN BLVD STE 103",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271234",
            "telephone_number": "716-674-4188",
            "fax_number": "716-674-4834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3085 SOUTHWESTERN BLVD STE 103",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271234",
            "telephone_number": "716-674-4188",
            "fax_number": "716-674-4834"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "849 Route 5 and 20",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "NY",
            "postal_code": "140819759",
            "country_code": "US",
            "telephone_number": "716-674-4188",
            "fax_number": "716-674-4834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BODZIAK",
        "first_name": "TARA",
        "name_prefix": "Dr.",
        "credential": "AU.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-24",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "002745",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NY",
            "license": "14000050439",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shari Blailock
• Dennis A Blair, DDS
• Krista Blakowski
• Stephanie Marie Bobeck, PT
• Zachary Bodack
• Ronald B Boersma, MD
• Bernadette Marie Boland, MS.ED
• Siobhan Boland, NP
• Renee Bolis, LCSW
• Colleen Bondanza, PT

• Audiologist in Orchard Park, NY
• Providers in Orchard Park, NY by specialty
• Audiologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.

Verify at the official NPI Registry.