Active NPI
Joyce Fraleigh Dittenhoefer, AUD
- Audiologist
- Poughkeepsie, NY
National Provider Identifier
1144253147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 001868-1
- 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
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 | 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001868-1 | NY | MD | Gerontology Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Audiology Distribution, LLC | Current | 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.