Individual provider Active NPI

Tracy Lee Kobelt-Danosky, NYSDISPENSER

  • Hearing Instrument Specialist
  • Pearl River, NY
National Provider Identifier
1295970697
Registry record updated Dec 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
14000012293 Issued in NY
Practice address
6 E Central Ave
Pearl River, NY 10965-2304
Phone
(845) 735-3277
Fax
(845) 735-8631
NPI assigned
Dec 14, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 14000012293 NY Primary

Addresses

Primary practice location

6 E Central Ave
Pearl River, NY 10965-2304

Mailing address

6 E Central Ave
Pearl River, NY 10965-2304
Phone (845) 735-3277

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
14000012293NYMDHearing Instrument Specialist

NPI Registry JSON

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

{
    "created_epoch": "1229212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229212800000",
    "number": "1295970697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 E CENTRAL AVE",
            "city": "PEARL RIVER",
            "state": "NY",
            "postal_code": "109652304",
            "telephone_number": "845-735-3277",
            "fax_number": "845-735-8631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 E CENTRAL AVE",
            "city": "PEARL RIVER",
            "state": "NY",
            "postal_code": "109652304",
            "telephone_number": "845-735-3277",
            "fax_number": "845-735-8631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOBELT-DANOSKY",
        "first_name": "TRACY",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "NYSDISPENSER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-14",
        "last_updated": "2008-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "NY",
            "license": "14000012293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearl River, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.

Verify at the official NPI Registry.