Active NPI
Jihan Z Abdelrasoul
- Audiologist
- Flushing, NY
National Provider Identifier
1134475155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 14000034100
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 002380 | NY | MD | Music Therapist |
| 14000034100 | NY | MD | Audiologist |
| 0023801 | NY | MD | Audiologist-Hearing Aid Fitter |
Practice roles (1 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aama Audiology P.C | Audiologist-Hearing Aid Fitter | Current | 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.
-
- Audiologist-Hearing Aid Fitter
- Flushing, NY
- NPI 1710220215
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.