Active NPI
Wendy Wallach-Delucia, M.S.
- Audiologist
- Danbury, CT
National Provider Identifier
1164422903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 000273
- Practice address
- 107 Newtown Rd
2A
Danbury, CT 06810-4146 - Phone
- (203) 830-4700
- Fax
- (203) 730-4166
- NPI assigned
- Jul 22, 2005
- 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 | 000273 | CT | Primary |
Addresses
Primary practice location
107 Newtown Rd
2A
Danbury, CT 06810-4146
Mailing address
107 Newtown Rd
2A
Danbury, CT 06810-4146
Phone (203) 830-4700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004145464 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000273 | CT | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Specialty Care, P.C. | Current | Accepting new patients | |
| Advanced Audiology & Hearing Aid Services | Audiologist | Past | Accepting new patients |
Locations
107 Newtown Rd
Ste 2A
Danbury, CT 06810
Phone (203) 830-4700
901 Ethan Allen Hwy
Ridgefield, CT 06877
Phone (203) 383-9967
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- wendy.wallachdeluciams.p1@direct.asc.nextgenshare.com
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.
-
- Otolaryngology Physician
- Danbury, CT
- NPI 1053340943
-
- Audiologist
- Danbury, CT
- NPI 1861677031
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359417600000",
"number": "1164422903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 NEWTOWN RD",
"address_2": "2A",
"city": "DANBURY",
"state": "CT",
"postal_code": "068104146",
"telephone_number": "203-830-4700",
"fax_number": "203-730-4166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 NEWTOWN RD",
"address_2": "2A",
"city": "DANBURY",
"state": "CT",
"postal_code": "068104146",
"telephone_number": "203-830-4700",
"fax_number": "203-730-4166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALLACH-DELUCIA",
"first_name": "WENDY",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-22",
"last_updated": "2013-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CT",
"license": "000273",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004145464",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Danbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; 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.