Active NPI
Rose Eilonwy Dulude, MA, CCC-A
- Audiologist
- Yorktown Heights, NY
National Provider Identifier
1245405760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 001697-1
- Practice address
- 1748 Hanover St
Yorktown Heights, NY 10598-4610 - Phone
- (914) 843-9994
- NPI assigned
- Apr 25, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | 001697-1 | NY | Primary |
Addresses
Primary practice location
1748 Hanover St
Yorktown Heights, NY 10598-4610
Mailing address
1748 Hanover St
Yorktown Heights, NY 10598-4610
Phone (914) 843-9994
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)
- Enrolled
- Credentials
- Master of Arts, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001697-1 | NY | MD | Audiologist |
| 001697 | NY | MD | Surgical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209081600000",
"number": "1245405760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1748 HANOVER ST",
"city": "YORKTOWN HEIGHTS",
"state": "NY",
"postal_code": "105984610",
"telephone_number": "914-843-9994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1748 HANOVER ST",
"city": "YORKTOWN HEIGHTS",
"state": "NY",
"postal_code": "105984610",
"telephone_number": "914-843-9994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DULUDE",
"first_name": "ROSE",
"middle_name": "EILONWY",
"credential": "MA, CCC-A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-25",
"last_updated": "2008-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NY",
"license": "001697-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yorktown Heights, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.