Individual provider Active NPI

Joyce Fraleigh Dittenhoefer, AUD

  • Audiologist
  • Poughkeepsie, NY
National Provider Identifier
1144253147
Registry record updated Sep 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
001868-1 Issued in NY
Practice address
205 South Ave
Suite 202
Poughkeepsie, NY 12601-4818
Phone
(845) 485-0179
Fax
(845) 485-0187
NPI assigned
Jul 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 001868-1 NY Primary

Addresses

Primary practice location

205 South Ave
Suite 202
Poughkeepsie, NY 12601-4818

Mailing address

205 South Ave
Suite 202
Poughkeepsie, NY 12601-4818
Phone (845) 485-0179

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111216000256 NY Practitioner - Qualified Audiologist 9830110899 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001868-1NYMDGerontology Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology Distribution, LLC CurrentSince Aug 23, 2021 Accepting new patients

Locations

Dept 3298
Carol Stream, IL 60132

1776 Broadway
New York, NY 10019
Phone (212) 399-7329

250 Route 59
Suffern, NY 10901
Phone (845) 357-2700

186 E Post Rd
White Plains, NY 10601
Phone (914) 328-2879

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253664000000",
    "number": "1144253147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 SOUTH AVE",
            "address_2": "SUITE 202",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126014818",
            "telephone_number": "845-485-0179",
            "fax_number": "845-485-0187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 SOUTH AVE",
            "address_2": "SUITE 202",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126014818",
            "telephone_number": "845-485-0179",
            "fax_number": "845-485-0187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DITTENHOEFER",
        "first_name": "JOYCE",
        "middle_name": "FRALEIGH",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2009-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "001868-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.