Active NPI
Busisiwe Merritt, AU.D
- Audiologist-Hearing Aid Fitter
- Woodbury, NY
National Provider Identifier
1164701231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- 002360
- Practice address
- 225 Froehlich Farm Blvd
Woodbury, NY 11797-2922 - Phone
- (516) 364-5400
- NPI assigned
- Aug 8, 2011
- 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-Hearing Aid Fitter | 237600000X | 002360 | NY | Primary |
Addresses
Primary practice location
225 Froehlich Farm Blvd
Woodbury, NY 11797-2922
Mailing address
225 Froehlich Farm Blvd
Woodbury, NY 11797-2922
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 900054038 | Medicaid | NY |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002360 | NY | MD | Audiologist-Hearing Aid Fitter |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312761600000",
"number": "1164701231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 FROEHLICH FARM BLVD",
"city": "WOODBURY",
"state": "NY",
"postal_code": "117972922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 FROEHLICH FARM BLVD",
"city": "WOODBURY",
"state": "NY",
"postal_code": "117972922",
"telephone_number": "516-364-5400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERRITT",
"first_name": "BUSISIWE",
"name_prefix": "Dr.",
"credential": "AU.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-08",
"last_updated": "2011-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "NY",
"license": "002360",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "900054038",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Woodbury, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.