Organization Active NPI

Audiology Balance Diagnostic P.C.

  • Audiologist
  • Brooklyn, NY
National Provider Identifier
1083940415
Registry record updated Oct 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
002270 Issued in NY
Legal business name
AUDIOLOGY BALANCE DIAGNOSTIC P.C.
Practice address
50 Brighton 1St Rd
15L
Brooklyn, NY 11235
Phone
(732) 801-6984
NPI assigned
Oct 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2009

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

Authorized official

Name
Ms. Olesia Ivanutenko
Title
Au.D.
Phone
(732) 801-6984

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X 002270 NY Primary

Addresses

Primary practice location

50 Brighton 1St Rd
15L
Brooklyn, NY 11235

Mailing address

50 Brighton 1St Rd
15L
Brooklyn, NY 11235

National Provider Directory

National Provider Directory

Locations

9920 4th Ave
Ste 206
Brooklyn, NY 11209
Phone (718) 238-8373

NPI Registry JSON

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

{
    "created_epoch": "1255996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255996800000",
    "number": "1083940415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 BRIGHTON 1ST RD",
            "address_2": "15L",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 BRIGHTON 1ST RD",
            "address_2": "15L",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11235",
            "telephone_number": "732-801-6984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUDIOLOGY BALANCE DIAGNOSTIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-20",
        "last_updated": "2009-10-20",
        "status": "A",
        "authorized_official_last_name": "IVANUTENKO",
        "authorized_official_first_name": "OLESIA",
        "authorized_official_title_or_position": "AU.D.",
        "authorized_official_telephone_number": "732-801-6984",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "NY",
            "license": "002270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2009; 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.