Individual provider Active NPI

Angela M Lalla, AU.D.

  • Audiologist
  • Glens Sallas, NY
National Provider Identifier
1194052563
Registry record updated Nov 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
001117-1 Issued in NY
Practice address
318 Ridge Street
Glens Sallas, NY 12801
Phone
(518) 581-7408
NPI assigned
Nov 5, 2009
Last updated
Nov 5, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191231000979 NY Practitioner - Qualified Audiologist 7618301581 Reassigns benefits to 1 organization

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
Audiologic Solutions IncGroup PAC ID 0345293494, 4 clinicians

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

LicenseStateTypeSpecialty
001117-1NYMDAudiologist
14000002755NYMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Audiologic Solutions Inc CurrentSince Dec 5, 2019 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.

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.

Verify at the official NPI Registry.