Individual provider Active NPI

Jodi Hirsch, AU.D.

  • Audiologist
  • Hempstead, NY
National Provider Identifier
1174529382
Registry record updated Apr 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
000883 Issued in NY
Practice address
1 Fulton Ave
Ste 24
Hempstead, NY 11550-3648
Phone
(516) 538-0899
Fax
(516) 538-0744
NPI assigned
Jun 22, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 000883 NY Primary

Addresses

Primary practice location

1 Fulton Ave
Ste 24
Hempstead, NY 11550-3648

Mailing address

1 Fulton Ave
Ste 24
Hempstead, NY 11550-3648
Phone (516) 538-0899

Other identifiers 7

IdentifierTypeStateIssuer
4623818OtherNYAETNE USHEALTHCARE
1000017733OtherNYAFFINITY/GENESIS
2284885OtherNYAETNA HMO
AS174OtherNYOXFORD(MEDNET)
H1001180OtherNYINDEPNDANT HEALTH
19672POtherNYHIP PRIS NO.
7845039OtherNYAETNA PPO/POS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080630000117 NY Practitioner - Qualified Audiologist 0446322911 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000883NYMDMusic Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Nassau Audiological Products, Inc. Audiologist CurrentSince Jan 15, 1992 Accepting new patients

Locations

1 Fulton Ave
Ste 24
Hempstead, NY 11550
Phone (516) 538-0899

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": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208995200000",
    "number": "1174529382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FULTON AVE",
            "address_2": "STE 24",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115503648",
            "telephone_number": "516-538-0899",
            "fax_number": "516-538-0744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 FULTON AVE",
            "address_2": "STE 24",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115503648",
            "telephone_number": "516-538-0899",
            "fax_number": "516-538-0744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIRSCH",
        "first_name": "JODI",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-22",
        "last_updated": "2008-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "000883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNE USHEALTHCARE",
            "identifier": "4623818",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AFFINITY/GENESIS",
            "identifier": "1000017733",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "2284885",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD(MEDNET)",
            "identifier": "AS174",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPNDANT HEALTH",
            "identifier": "H1001180",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP PRIS NO.",
            "identifier": "19672P",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO/POS",
            "identifier": "7845039",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hempstead, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; 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.

Verify at the official NPI Registry.