Individual provider Active NPI

Sarah I Balsam, AU.D.

  • Audiologist
  • Rye Brook, NY
National Provider Identifier
1205268802
Registry record updated Nov 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
002450 Issued in NY
Practice address
118 S Ridge St Ste 4
Rye Brook, NY 10573-2848
Phone
(323) 651-5107
NPI assigned
Aug 6, 2013
Last updated
Nov 6, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 002450 NY Primary

Addresses

Primary practice location

118 S Ridge St Ste 4
Rye Brook, NY 10573-2848

Mailing address

118 S Ridge St Ste 4
Rye Brook, NY 10573-2848

Other identifiers 1

IdentifierTypeStateIssuer
002450OtherNY STATE LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191209001514 NY Practitioner - Qualified Audiologist 3971936725 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bonnie Rubin Audiology of Rye Ridge, PLLCGroup PAC ID 8527063478, 2 clinicians

Practice addresses (Care Compare)

118 S Ridge St
Suite 4
Rye Brook, NY 10573-2848
Phone (914) 935-3292

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002450NYMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bonnie Rubin Audiology of Rye Ridge, PLLC Audiologist CurrentSince Oct 14, 2019 Accepting new patients
Audio RX Hearing Services, Inc. Audiologist PastSince Aug 1, 2003 Accepting new patients

Locations

118 S Ridge St
Ste 4
Rye Brook, NY 10573
Phone (323) 651-5107

Organizations & group practices 2

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": "1375747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572998400000",
    "number": "1205268802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 S RIDGE ST STE 4",
            "city": "RYE BROOK",
            "state": "NY",
            "postal_code": "105732848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 S RIDGE ST STE 4",
            "city": "RYE BROOK",
            "state": "NY",
            "postal_code": "105732848",
            "telephone_number": "323-651-5107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALSAM",
        "first_name": "SARAH",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-06",
        "last_updated": "2019-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "002450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY STATE LICENSE",
            "identifier": "002450",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rye Brook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; 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.