Individual provider Active NPI

Arthur Podwall, PHD

  • Audiologist
  • Syosset, NY
National Provider Identifier
1164595591
Registry record updated Aug 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
000735 Issued in NY
Practice address
Syosset Speech & Hearing Center
175 Jericho Turnpike Suite 103
Syosset, NY 11791
Phone
(516) 364-1234
Fax
(516) 364-3132
NPI assigned
Nov 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 000735 NY Primary
Speech-Language Pathologist 235Z00000X 000004 NY

Addresses

Primary practice location

Syosset Speech & Hearing Center
175 Jericho Turnpike Suite 103
Syosset, NY 11791

Mailing address

Syosset Speech & Hearing Center
175 Jericho Turnpike Suite 103
Syosset, NY 11791
Phone (516) 364-1234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
000004NYMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Arthur Podwall PH.D., LLC Audiologist Past Accepting new patients

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": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217894400000",
    "number": "1164595591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SYOSSET SPEECH & HEARING CENTER",
            "address_2": "175 JERICHO TURNPIKE SUITE 103",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "11791",
            "telephone_number": "516-364-1234",
            "fax_number": "516-364-3132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SYOSSET SPEECH & HEARING CENTER",
            "address_2": "175 JERICHO TURNPIKE SUITE 103",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "11791",
            "telephone_number": "516-364-1234",
            "fax_number": "516-364-3132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PODWALL",
        "first_name": "ARTHUR",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2008-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "000735",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "000004",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syosset, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.