Individual provider Active NPI

Maged Haimed, SC.D.

  • Audiologist
  • Staten Island, NY
National Provider Identifier
1295008365
Registry record updated Feb 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
002392-1 Issued in NY
Practice address
4262 Richmond Avenue
Staten Island Audiology and Hearing, PC
Staten Island, NY 10312
Phone
(718) 966-9467
Fax
(718) 966-9464
NPI assigned
Feb 20, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 002392-1 NY Primary

Addresses

Primary practice location

4262 Richmond Avenue
Staten Island Audiology and Hearing, PC
Staten Island, NY 10312

Mailing address

4262 Richmond Avenue
Staten Island, NY 10312
Phone (718) 966-9466

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

LicenseStateTypeSpecialty
002392-1NYMDAudiologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1329696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329696000000",
    "number": "1295008365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4262 RICHMOND AVENUE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10312",
            "telephone_number": "718-966-9466",
            "fax_number": "718-966-9464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4262 RICHMOND AVENUE",
            "address_2": "STATEN ISLAND AUDIOLOGY AND HEARING, PC",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10312",
            "telephone_number": "718-966-9467",
            "fax_number": "718-966-9464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAIMED",
        "first_name": "MAGED",
        "name_prefix": "Mr.",
        "credential": "SC.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-20",
        "last_updated": "2012-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "002392-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.