Individual provider Active NPI

Teresa Rose Boemio, MS

  • Audiologist-Hearing Aid Fitter
  • Westwood, NJ
National Provider Identifier
1205089935
Registry record updated Oct 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
001120-1 Issued in NY
Practice address
219 Old Hook Rd
Westwood, NJ 07675-3131
Phone
(201) 666-8787
Fax
(201) 358-6686
NPI assigned
Oct 26, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 001120-1 NY Primary

Addresses

Primary practice location

219 Old Hook Rd
Westwood, NJ 07675-3131

Mailing address

333 W 57TH St
Suite 104
New York, NY 10019-3159
Phone (201) 666-8787

Other identifiers 2

IdentifierTypeStateIssuer
001120-1OtherNYLICENSE #
14000013261OtherNYHEARING AID DISPENSING LICENSE

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
001120-1NYMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Valley ENT & Facial Plastics Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1224979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224979200000",
    "number": "1205089935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 W 57TH ST",
            "address_2": "SUITE 104",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100193159",
            "telephone_number": "201-666-8787",
            "fax_number": "201-358-6686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 OLD HOOK RD",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076753131",
            "telephone_number": "201-666-8787",
            "fax_number": "201-358-6686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOEMIO",
        "first_name": "TERESA",
        "middle_name": "ROSE",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-26",
        "last_updated": "2008-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NY",
            "license": "001120-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "001120-1",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEARING AID DISPENSING LICENSE",
            "identifier": "14000013261",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westwood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.