Active NPI
Aviva Kagan
- Audiologist
- Mineola, NY
National Provider Identifier
1104907443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 001536-1
- Practice address
- 354 E Jericho Tpke
Mineola, NY 11501-2135 - Phone
- (516) 741-3000
- NPI assigned
- Oct 17, 2006
- Last updated
- Jun 2, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 001536-1 | NY | Primary |
Addresses
Primary practice location
354 E Jericho Tpke
Mineola, NY 11501-2135
Mailing address
354 E Jericho Tpke
Mineola, NY 11501-2135
Phone (516) 741-3000
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, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
8715 37TH Ave
Suite D
Jackson Heights, NY 11372-7733
Phone (718) 507-5200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001536-1 | NY | MD | Metabolic Nutrition Registered Dietitian |
| 001536 | NY | MD | Art Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alk Hearing LLC | Current | Accepting new patients | |
| Hearusa Inc | Past | Accepting new patients |
Locations
8715 37th Ave
Ste D
Jackson Heights, NY 11372
Phone (718) 507-5200
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Organizations & group practices 2
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.
-
dba Hearing Technologies Center
- Hearing and Speech Clinic/Center
- Jackson Heights, NY
- NPI 1629412754
-
- Audiologist-Hearing Aid Fitter
- West Palm Beach, FL
- NPI 1073560231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212364800000",
"number": "1104907443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "354 E JERICHO TPKE",
"city": "MINEOLA",
"state": "NY",
"postal_code": "115012135",
"telephone_number": "516-741-3000",
"fax_number": "718-627-0040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "354 E JERICHO TPKE",
"city": "MINEOLA",
"state": "NY",
"postal_code": "115012135",
"telephone_number": "516-741-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAGAN",
"first_name": "AVIVA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-17",
"last_updated": "2008-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NY",
"license": "001536-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mineola, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; 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.