Active NPI
Shelly Rachel Ozdamar, M.S.
- Audiologist
- New York, NY
National Provider Identifier
1124272380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 1282
- Practice address
- 380 2ND Ave
9TH Floor
New York, NY 10010-5615 - Phone
- (646) 438-7850
- NPI assigned
- Nov 13, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 1282 | NY | Primary |
Addresses
Primary practice location
380 2ND Ave
9TH Floor
New York, NY 10010-5615
Mailing address
380 2ND Ave
9TH Floor
New York, NY 10010-5615
Phone (646) 438-7850
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1282 | Other | NY | NY STATE LIC. |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1282 | NY | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226534400000",
"number": "1124272380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "380 2ND AVE",
"address_2": "9TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100105615",
"telephone_number": "646-438-7850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "380 2ND AVE",
"address_2": "9TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100105615",
"telephone_number": "646-438-7850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OZDAMAR",
"first_name": "SHELLY",
"middle_name": "RACHEL",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-11-13",
"last_updated": "2008-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NY",
"license": "1282",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NY STATE LIC.",
"identifier": "1282",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}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 Nov 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.