Individual provider Active NPI

Dominique Rose Calandrillo

  • Audiologist-Hearing Aid Fitter
  • New York, NY
National Provider Identifier
1154059665
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
Practice address
50 Broadway
New York, NY 10004-1607
Phone
(917) 305-7700
NPI assigned
Aug 11, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X Primary

Addresses

Primary practice location

50 Broadway
New York, NY 10004-1607

Mailing address

543 Ardsley Blvd
Garden City, NY 11530-5600
Phone (516) 551-6417

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230116000743 NY Practitioner - Qualified Audiologist 3072984756 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Hearing and CommunicationGroup PAC ID 7911803317, 16 clinicians

Practice addresses (Care Compare)

50 Broadway
FL 6
New York, NY 10004-3810
Phone (917) 305-7700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Hearing and Communication CurrentSince Dec 22, 2022 Accepting new patients
Center for Hearing and Communication CurrentSince Dec 22, 2022 Accepting new patients

Locations

50 Broadway
New York, NY 10004
Phone (212) 254-0333

50 Broadway
Fl 6
New York, NY 10004
Phone (917) 305-7700

Organizations & group practices 2

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": "1660176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1154059665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "543 ARDSLEY BLVD",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115305600",
            "telephone_number": "516-551-6417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100041607",
            "telephone_number": "917-305-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALANDRILLO",
        "first_name": "DOMINIQUE",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-11",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": null,
            "license": null,
            "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 Aug 11, 2022; 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.