Active NPI
Ann Wallin, M.S., CCC-A
- Audiologist-Hearing Aid Fitter
- Brooklyn, NY
National Provider Identifier
1184760191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- 14000004612
- Practice address
- 447 77TH St
Brooklyn, NY 11209-3205 - Phone
- (718) 745-2826
- Fax
- (718) 745-0040
- NPI assigned
- Jan 29, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 00860 | NY | |
| Audiologist-Hearing Aid Fitter | 237600000X | 14000004612 | NY | Primary |
Addresses
Primary practice location
447 77TH St
Brooklyn, NY 11209-3205
Mailing address
251 Longwood LN
Somerset, NJ 08873-6033
Phone (732) 271-0134
Other identifiers 18
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M0830P | Other | NY | HIP |
| 37077 | Other | NY | GHI HMO |
| 3C1369 | Other | NY | HEALTH NET |
| 100051671601 | Other | NY | UNITEDHEALTHCARE MEDICAID |
| 2306807 003 | Other | NY | CIGNA MEDICARE |
| BK0046601 | Other | NY | AMERICHOICE |
| 137077 | Other | NY | WELLCARE |
| 4899768 | Other | NY | GHI |
| 161820 | Other | NY | ELDERPLAN GROUP # |
| 2306807 004 | Other | NY | CIGNA |
| 64000311 | Other | NY | RAILROAD MEDICARE |
| 00000516716 | Other | NY | UNITED HEALTHCARE |
| 5539430 | Other | NY | AETNA |
| 632040 | Other | NY | ONE HEALTH PLAN |
| KS209 | Other | NY | OXFORD |
| M04201 | Other | NY | BLUE CROSS BLUE SHIELD |
| 730000860NY01 | Other | NY | ANTHEM |
| P-53902391 | Other | NY | MULTI-PLAN |
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000860 | NY | MD | Athletic Trainer |
| 00860 | NY | MD | Audiologist |
| 14000004612 | NY | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Audiological Diagnostics | Past | Accepting new patients | |
| Audiological Diagnostics, P.C. | Audiologist | Past | Accepting new patients |
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.
-
- Exclusive Provider Organization
- Brooklyn, NY
- NPI 1558663518
-
- Audiologist
- Brooklyn, NY
- NPI 1669518452
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1184760191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "251 LONGWOOD LN",
"city": "SOMERSET",
"state": "NJ",
"postal_code": "088736033",
"telephone_number": "732-271-0134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "447 77TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112093205",
"telephone_number": "718-745-2826",
"fax_number": "718-745-0040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALLIN",
"first_name": "ANN",
"credential": "M.S., CCC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-29",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NY",
"license": "00860",
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "NY",
"license": "14000004612",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP",
"identifier": "M0830P",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI HMO",
"identifier": "37077",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET",
"identifier": "3C1369",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITEDHEALTHCARE MEDICAID",
"identifier": "100051671601",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA MEDICARE",
"identifier": "2306807 003",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE",
"identifier": "BK0046601",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "137077",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "4899768",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ELDERPLAN GROUP #",
"identifier": "161820",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2306807 004",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "64000311",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "00000516716",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5539430",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ONE HEALTH PLAN",
"identifier": "632040",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "KS209",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "M04201",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "730000860NY01",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTI-PLAN",
"identifier": "P-53902391",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.