Individual provider Active NPI

Andrew Resnick, M.A.

  • Audiologist
  • New York, NY
National Provider Identifier
1144361676
Registry record updated Jan 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
001643 Issued in NY
Practice address
16 E 60TH St
3Rd Floor
New York, NY 10022-1002
Phone
(212) 326-8475
Fax
(212) 326-8585
NPI assigned
Feb 9, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 001643 NY Primary

Addresses

Primary practice location

16 E 60TH St
3Rd Floor
New York, NY 10022-1002

Mailing address

133 E 58TH St
Ste 411
New York, NY 10022-1166
Phone (212) 326-8475

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070817000470 NY Practitioner - Qualified Audiologist 1759473994 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
Group practices
Andrew Resnick, Au.D., LLCGroup PAC ID 3971695123, 2 clinicians

Practice addresses (Care Compare)

133 E 58TH St
Suite 701
New York, NY 10022-1132
Phone (212) 752-3373

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
001643NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Andrew Resnick, Au.D., LLC CurrentSince Jun 1, 2007 Accepting new patients

Locations

133 E 58th St
Ste 701
New York, NY 10022
Phone (212) 752-3373

133 E 58th St
Ste 411
New York, NY 10022
Phone (212) 752-3373

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": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578873600000",
    "number": "1144361676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 E 58TH ST",
            "address_2": "STE 411",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221166",
            "telephone_number": "212-326-8475",
            "fax_number": "212-326-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 E 60TH ST",
            "address_2": "3RD FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221002",
            "telephone_number": "212-326-8475",
            "fax_number": "212-326-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESNICK",
        "first_name": "ANDREW",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-09",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "001643",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 13, 2020; 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.