Active NPI
Joanna Roufos, AU.D,CCC-A
- Audiologist
- Whitestone, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 001479-1
- Practice address
- 15012 14TH Ave
Suite 200
Whitestone, NY 11357-1800 - Phone
- (718) 279-4327
- Fax
- (718) 279-1281
- NPI assigned
- Jul 22, 2008
- Last updated
- Feb 25, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 001479-1 | NY | Primary |
| Audiologist-Hearing Aid Fitter | 237600000X | 14000022298 | NY |
Addresses
Primary practice location
15012 14TH Ave
Suite 200
Whitestone, NY 11357-1800
Mailing address
15012 14TH Ave
Suite 200
Whitestone, NY 11357-1800
Phone (718) 279-4327
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03164174 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
15012 14TH Ave
Suite 200
Whitestone, NY 11357-1800
Phone (718) 279-4327
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001479 | NY | MD | Acupuncturist |
| 001479-1 | NY | MD | Audiologist |
| 14000022298 | NY | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Queens Audiology, PLLC | Audiologist | Current | Accepting new patients |
| Manhattan Audiology | Past | Accepting new patients | |
| Queens Audiology, PLLC | Audiologist | Past | Accepting new patients |
| Queens Audiology, PLLC | Audiologist | Past | Accepting new patients |
Locations
3016 30th Dr
Long Island City, NY 11102
Phone (718) 728-3376
210 E 64th St
Fl 3
New York, NY 10065
Phone (212) 434-4050
1421 3rd Ave
Apt 4
New York, NY 10028
Phone (212) 452-1500
121 E 84th St
New York, NY 10028
Phone (212) 792-3900
1421 3rd Ave
New York, NY 10028
Phone (212) 744-5538
210 E 64th St
New York, NY 10065
Phone (212) 434-4312
15012 14th Ave
Ste 200
Whitestone, NY 11357
Phone (718) 279-4327
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Audiologist
- Whitestone, NY
- NPI 1043544794
-
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- New York, NY
- NPI 1063570083
-
- Otolaryngology Physician
- New York, NY
- NPI 1417016890
-
- Audiologist
- Astoria, NY
- NPI 1023322120
-
- Hearing and Speech Clinic/Center
- New York, NY
- NPI 1962810507
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361750400000",
"number": "1073778700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15012 14TH AVE",
"address_2": "SUITE 200",
"city": "WHITESTONE",
"state": "NY",
"postal_code": "113571800",
"telephone_number": "718-279-4327",
"fax_number": "718-279-1281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15012 14TH AVE",
"address_2": "SUITE 200",
"city": "WHITESTONE",
"state": "NY",
"postal_code": "113571800",
"telephone_number": "718-279-4327",
"fax_number": "718-279-1281"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROUFOS",
"first_name": "JOANNA",
"credential": "AU.D,CCC-A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-22",
"last_updated": "2013-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NY",
"license": "001479-1",
"primary": true
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "NY",
"license": "14000022298",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03164174",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Whitestone, 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.
- 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.