Active NPI
Anita Avila, AU.D.
- Audiologist
- New York, NY
National Provider Identifier
1275954638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 002502
- Practice address
- 152 Madison Ave
1104
New York, NY 10016-5424 - Phone
- (212) 921-1666
- Fax
- (636) 395-3309
- NPI assigned
- Jan 2, 2014
- Last updated
- Jan 2, 2014
- 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 | 002502 | NY | Primary |
Addresses
Primary practice location
152 Madison Ave
1104
New York, NY 10016-5424
Mailing address
2513 86TH St
East Elmhurst, NY 11369-1026
Phone (347) 724-0107
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002502 | NY | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388620800000",
"number": "1275954638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2513 86TH ST",
"city": "EAST ELMHURST",
"state": "NY",
"postal_code": "113691026",
"telephone_number": "347-724-0107",
"fax_number": "646-395-3309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "152 MADISON AVE",
"address_2": "1104",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100165424",
"telephone_number": "212-921-1666",
"fax_number": "636-395-3309"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVILA",
"first_name": "ANITA",
"credential": "AU.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-01-02",
"last_updated": "2014-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NY",
"license": "002502",
"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 Jan 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.