Individual provider Active NPI

Anthoula Maria Spahidakis, AU.D

  • Audiologist-Hearing Aid Fitter
  • New York, NY
National Provider Identifier
1114617263
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
003125-01 Issued in NY
Practice address
119 E 84TH St Unit 1a
New York, NY 10028-0939
Phone
(347) 342-6114
NPI assigned
May 11, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 003125-01 NY Primary

Addresses

Primary practice location

119 E 84TH St Unit 1a
New York, NY 10028-0939

Mailing address

119 E 84TH St Unit 1a
New York, NY 10028-0939
Phone (347) 342-6114

Other practice location 1

3016 30th Dr Fl 4
Astoria, NY 11102-1874
Phone (347) 342-6114

Other practice location 2

15012 14th Ave Ste 200
Whitestone, NY 11357-1800
Phone (347) 342-6114

Other names 1

  • Dr. Anna Maria Spahidakis Professional 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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
003125-01NYMDAudiologist-Hearing Aid Fitter

NPI Registry JSON

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

{
    "created_epoch": "1683763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1114617263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 E 84TH ST UNIT 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280939",
            "telephone_number": "347-342-6114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 E 84TH ST UNIT 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280939",
            "telephone_number": "347-342-6114"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3016 30th Dr Fl 4",
            "address_purpose": "LOCATION",
            "city": "Astoria",
            "state": "NY",
            "postal_code": "111021874",
            "country_code": "US",
            "telephone_number": "347-342-6114",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15012 14th Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Whitestone",
            "state": "NY",
            "postal_code": "113571800",
            "country_code": "US",
            "telephone_number": "347-342-6114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPAHIDAKIS",
        "first_name": "ANTHOULA",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "AU.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-11",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NY",
            "license": "003125-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "SPAHIDAKIS",
            "middle_name": "MARIA",
            "prefix": "DR.",
            "credential": "AU.D",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; 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.