Individual provider Active NPI

Janet P Shalley, M.S.

  • Audiologist
  • New York, NY
National Provider Identifier
1255581377
Registry record updated Sep 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
865 Issued in NY
Practice address
69 E 76TH St
New York, NY 10021-1826
Phone
(212) 288-7231
Fax
(212) 717-1607
NPI assigned
Sep 25, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 865 NY Primary

Addresses

Primary practice location

69 E 76TH St
New York, NY 10021-1826

Mailing address

69 E 76TH St
New York, NY 10021-1826
Phone (212) 288-7231

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180910002289 NY Practitioner - Qualified Audiologist 6002975711 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3475 Hempstead Tpke
Levittown, NY 11756-1411
Phone (516) 735-9191

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
865NYMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
51 Sandalwood Enterprises Inc CurrentSince Aug 13, 2018 Accepting new patients
51 Sandalwood Enterprises, Inc CurrentSince Aug 13, 2018 Accepting new patients
Long Island Hearing Inc CurrentSince Aug 5, 2022 Accepting new patients
Christine M. Kent Audiologist PLLC PastSince Aug 5, 2022 Accepting new patients
Northland Hearing Centers, Inc. Past Accepting new patients

Locations

23 S Howell Ave
Ste M
Centereach, NY 11720
Phone (631) 284-2299

3475 Hempstead Tpke
Levittown, NY 11756
Phone (516) 735-9191

818 E Main St
Riverhead, NY 11901
Phone (631) 284-2299

325 Meeting House Ln
Ste B
Southampton, NY 11968
Phone (631) 287-9226

Organizations & group practices 5

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": "1222300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222300800000",
    "number": "1255581377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 E 76TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100211826",
            "telephone_number": "212-288-7231",
            "fax_number": "212-717-1607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 E 76TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100211826",
            "telephone_number": "212-288-7231",
            "fax_number": "212-717-1607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHALLEY",
        "first_name": "JANET",
        "middle_name": "P",
        "name_prefix": "Ms.",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-25",
        "last_updated": "2008-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2008; 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.