Active NPI
Carly Dawn Gardiner, AU.D.
- Audiologist
- Babylon, NY
National Provider Identifier
1154720266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 002522
- Practice address
- 124 E Main St Ste 203
Babylon, NY 11702-3532 - Phone
- (316) 482-1340
- NPI assigned
- Aug 14, 2014
- Sex
- Female
- Sole proprietor
- No
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 | 002522 | NY | Primary |
Addresses
Primary practice location
124 E Main St Ste 203
Babylon, NY 11702-3532
Mailing address
2501 Cottontail LN Ste 105
Somerset, NJ 08873-5125
Phone (732) 529-7120
Other names 1
- Ms. Carly Dawn Wiener
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- Quality
- 79.77
- Promoting interoperability
- 88.77
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore-Lij Medical PC | Current | Accepting new patients | |
| Aspire Health Solutions Inc | Current | Accepting new patients | |
| Hearusa Inc | Past | Accepting new patients | |
| ENT and Allergy Associates LLP | Past | Accepting new patients |
Locations
300 Community Dr
Plandome, NY 11030
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 5
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.
-
- Optometrist
- East Rockaway, NY
- NPI 1568735223
-
- Urology Physician
- Great Neck, NY
- NPI 1053688572
-
- Otolaryngology Physician
- Tarrytown, NY
- NPI 1376598326
-
- Audiologist-Hearing Aid Fitter
- West Palm Beach, FL
- NPI 1073560231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555891200000",
"number": "1154720266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2501 COTTONTAIL LN STE 105",
"city": "SOMERSET",
"state": "NJ",
"postal_code": "088735125",
"telephone_number": "732-529-7120",
"fax_number": "207-226-2064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 E MAIN ST STE 203",
"city": "BABYLON",
"state": "NY",
"postal_code": "117023532",
"telephone_number": "316-482-1340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARDINER",
"first_name": "CARLY",
"middle_name": "DAWN",
"name_prefix": "Mrs.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-14",
"last_updated": "2019-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NY",
"license": "002522",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CARLY",
"last_name": "WIENER",
"middle_name": "DAWN",
"prefix": "MS.",
"credential": "AU.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Babylon, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2019; 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.