Individual provider Active NPI

Jihan Z Abdelrasoul

  • Audiologist
  • Flushing, NY
National Provider Identifier
1134475155
Registry record updated Jun 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
14000034100 Issued in NY
Practice address
13620 38TH Ave
Suite 7J
Flushing, NY 11354-4277
Phone
(718) 670-0006
Fax
(718) 701-5883
NPI assigned
Jul 27, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 14000034100 NY Primary
Audiologist-Hearing Aid Fitter 237600000X 0023801 NY

Addresses

Primary practice location

13620 38TH Ave
Suite 7J
Flushing, NY 11354-4277

Mailing address

918 Bay Ridge Pkwy
Brooklyn, NY 11228-2302
Phone (347) 524-2697

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130701000448 NY Practitioner - Qualified Audiologist 1456598820 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13620 38TH Ave
7J
Flushing, NY 11354-4232
Phone (718) 670-0006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002380NYMDMusic Therapist
14000034100NYMDAudiologist
0023801NYMDAudiologist-Hearing Aid Fitter

Practice roles (1 of 5)

OrganizationSpecialtyStatusNew patients
Aama Audiology P.C Audiologist-Hearing Aid Fitter CurrentSince Jun 5, 2013 Accepting new patients

Locations

13620 38th Ave
Ste 7J
Flushing, NY 11354
Phone (347) 506-0765

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1343347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528848000000",
    "number": "1134475155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 BAY RIDGE PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112282302",
            "telephone_number": "347-524-2697",
            "fax_number": "347-464-5570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13620 38TH AVE",
            "address_2": "SUITE 7J",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544277",
            "telephone_number": "718-670-0006",
            "fax_number": "718-701-5883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDELRASOUL",
        "first_name": "JIHAN",
        "middle_name": "Z",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-27",
        "last_updated": "2018-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "14000034100",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NY",
            "license": "0023801",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2018; 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.

Verify at the official NPI Registry.