Active NPI
Jackie Lynn Chiger, MSCCC-A
- Audiologist
- Goshen, NY
National Provider Identifier
1184792780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 001373
- Practice address
- 2 Fletcher St
Goshen, NY 10924-1402 - Phone
- (845) 294-8806
- Fax
- (845) 294-8650
- NPI assigned
- Dec 1, 2006
- Last updated
- Jul 8, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 001373 | NY | Primary |
Addresses
Primary practice location
2 Fletcher St
Goshen, NY 10924-1402
Mailing address
3163 State Route 42
Monticello, NY 12701-4858
Phone (845) 794-7966
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 87766 | Other | NY | GHI |
| 10106806 | Other | NY | CDPHP |
| 9Y3021 | Other | NY | EMPIREBLUECROSSBLUESHIELD |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001373 | NY | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184792780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3163 STATE ROUTE 42",
"city": "MONTICELLO",
"state": "NY",
"postal_code": "127014858",
"telephone_number": "845-794-7966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 FLETCHER ST",
"city": "GOSHEN",
"state": "NY",
"postal_code": "109241402",
"telephone_number": "845-294-8806",
"fax_number": "845-294-8650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIGER",
"first_name": "JACKIE",
"middle_name": "LYNN",
"credential": "MSCCC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NY",
"license": "001373",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "87766",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDPHP",
"identifier": "10106806",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIREBLUECROSSBLUESHIELD",
"identifier": "9Y3021",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Goshen, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.