Active NPI
Angela M Lalla, AU.D.
- Audiologist
- Glens Sallas, NY
National Provider Identifier
1194052563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 001117-1
- Practice address
- 318 Ridge Street
Glens Sallas, NY 12801 - Phone
- (518) 581-7408
- NPI assigned
- Nov 5, 2009
- Last updated
- Nov 5, 2009
- 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 | 001117-1 | NY | Primary |
| Audiologist-Hearing Aid Fitter | 237600000X | 14000002755 | NY |
Addresses
Primary practice location
318 Ridge Street
Glens Sallas, NY 12801
Mailing address
44 Hathorn Blvd.
Saratoga Springs, NY 12866
Phone (518) 581-7408
Other names 1
- Angela M. Miskinis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Pennsylvania College of Optometry, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2 Empire Dr
Suite 204
Rensselaer, NY 12144-5730
Phone (518) 283-6111
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001117-1 | NY | MD | Audiologist |
| 14000002755 | NY | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Audiologic Solutions Inc | Current | Accepting new patients |
Locations
2 Empire Dr
Ste 204
Rensselaer, NY 12144
Phone (518) 283-6111
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.
-
- Hearing Aid Equipment
- Rensselaer, NY
- NPI 1609067214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257379200000",
"number": "1194052563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 HATHORN BLVD.",
"city": "SARATOGA SPRINGS",
"state": "NY",
"postal_code": "12866",
"telephone_number": "518-581-7408",
"fax_number": "518-671-1490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "318 RIDGE STREET",
"city": "GLENS SALLAS",
"state": "NY",
"postal_code": "12801",
"telephone_number": "518-581-7408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LALLA",
"first_name": "ANGELA",
"middle_name": "M",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-05",
"last_updated": "2009-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NY",
"license": "001117-1",
"primary": true
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "NY",
"license": "14000002755",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANGELA",
"last_name": "MISKINIS",
"middle_name": "M.",
"credential": "M.A.",
"code": "1",
"type": "Former Name"
}
]
}
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.