Active NPI
Sarah I Balsam, AU.D.
- Audiologist
- Rye Brook, NY
National Provider Identifier
1205268802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 002450
- 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, 2019
- 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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002450 | Other | NY STATE LICENSE |
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
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 002450 | NY | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bonnie Rubin Audiology of Rye Ridge, PLLC | Audiologist | Current | Accepting new patients |
| Audio RX Hearing Services, Inc. | Audiologist | Past | 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.
-
- Audiologist
- Rye Brook, NY
- NPI 1346348208
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- Audiologist
- Los Angeles, CA
- NPI 1912025123
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.