Active NPI
Amanda Raquel Rodriguez, AUD
- Audiologist
- Pomona, NY
National Provider Identifier
1326756222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 003152
- Practice address
- 11 Medical Park Dr Ste 205
Pomona, NY 10970-3560 - Phone
- (845) 362-1350
- NPI assigned
- Nov 9, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 00315201 | NY | |
| Audiologist | 231H00000X | 003152 | NY | Primary |
Addresses
Primary practice location
11 Medical Park Dr Ste 205
Pomona, NY 10970-3560
Mailing address
11 Medical Park Dr Ste 205
Pomona, NY 10970-3560
Phone (845) 362-1350
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11 Medical Park Dr
Suite 205
Pomona, NY 10970-3560
Phone (845) 362-1350
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003152 | NY | MD | Art Therapist |
| 00315201 | NY | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hudson Valley Audiology PC | Single Specialty | Current | Accepting new patients |
Locations
11 Medical Park Dr
Ste 205
Pomona, NY 10970
Phone (845) 362-1350
Organizations & group practices 1
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.
-
- Audiologist-Hearing Aid Fitter
- Pomona, NY
- NPI 1841624517
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671494400000",
"number": "1326756222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 MEDICAL PARK DR STE 205",
"city": "POMONA",
"state": "NY",
"postal_code": "109703560",
"telephone_number": "845-362-1350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 MEDICAL PARK DR STE 205",
"city": "POMONA",
"state": "NY",
"postal_code": "109703560",
"telephone_number": "845-362-1350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "AMANDA",
"middle_name": "RAQUEL",
"credential": "AUD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-09",
"last_updated": "2022-12-20",
"certification_date": "2022-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NY",
"license": "00315201",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Audiologist",
"state": "NY",
"license": "003152",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pomona, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; 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.