Individual provider Active NPI

Angela Marie Riemma, AUD CCC/A FAAA

  • Audiologist
  • Purchase, NY
National Provider Identifier
1174794820
Registry record updated Nov 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
000462-1 Issued in NY
Practice address
3020 Westchester Ave FL 3
Purchase, NY 10577-2510
Phone
(914) 253-8070
Fax
(914) 251-0868
NPI assigned
Mar 20, 2008
Last updated
Nov 18, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 000462-1 NY Primary

Addresses

Primary practice location

3020 Westchester Ave FL 3
Purchase, NY 10577-2510

Mailing address

560 White Plains Road
ENT and Allergy Associates
White Plains, NY 10591
Phone (914) 253-8070

Other identifiers 1

IdentifierTypeStateIssuer
1174794820OtherNYNPI NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230505001142 DE Practitioner - Qualified Audiologist 5991872780 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000462NYMDBehavioral Analyst
000462-1NYMDAudiologist

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1205971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416268800000",
    "number": "1174794820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 WHITE PLAINS ROAD",
            "address_2": "ENT AND ALLERGY ASSOCIATES",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "10591",
            "telephone_number": "914-253-8070",
            "fax_number": "914-251-0868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 WESTCHESTER AVE FL 3",
            "city": "PURCHASE",
            "state": "NY",
            "postal_code": "105772510",
            "telephone_number": "914-253-8070",
            "fax_number": "914-251-0868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIEMMA",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "AUD CCC/A FAAA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-20",
        "last_updated": "2014-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "000462-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1174794820",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Purchase, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2014; 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.