Active NPI
Rosaleen O'Connor
- Audiology Assistant
- Glen Oaks, NY
National Provider Identifier
1194026252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiology Assistant
- License
- 481697
- Practice address
- 26038 74 Ave
Glen Oaks, NY 11004-1139 - Phone
- (718) 343-0037
- NPI assigned
- Nov 5, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Audiology Assistant | 2355A2700X | 481697 | NY | Primary |
Addresses
Primary practice location
26038 74 Ave
Glen Oaks, NY 11004-1139
Mailing address
26038 74TH Ave
Glen Oaks, NY 11004-1139
Phone (718) 343-0370
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 |
|---|---|---|---|
| 481697 | NY | MD | Audiology Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288915200000",
"number": "1194026252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26038 74TH AVE",
"city": "GLEN OAKS",
"state": "NY",
"postal_code": "110041139",
"telephone_number": "718-343-0370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26038 74 AVE",
"city": "GLEN OAKS",
"state": "NY",
"postal_code": "110041139",
"telephone_number": "718-343-0037"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'CONNOR",
"first_name": "ROSALEEN",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-11-05",
"last_updated": "2010-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "2355A2700X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Audiology Assistant",
"state": "NY",
"license": "481697",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen Oaks, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.