Active NPI
Teresa Rose Boemio, MS
- Audiologist-Hearing Aid Fitter
- Westwood, NJ
National Provider Identifier
1205089935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- 001120-1
- 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
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-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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001120-1 | Other | NY | LICENSE # |
| 14000013261 | Other | NY | HEARING 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
| License | State | Type | Specialty |
|---|---|---|---|
| 001120-1 | NY | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Otolaryngology/Facial Plastic Surgery Physician
- New York, NY
- NPI 1770745291
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.