Individual provider Active NPI

Carol Wesemann, AU.D. CCC-A

  • Audiologist
  • New Hyde Park, NY
National Provider Identifier
1336187640
Registry record updated Feb 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
002052-1 Issued in NY
Practice address
3003 New Hyde Park Rd
Suite 409
New Hyde Park, NY 11042-1206
Phone
(516) 775-2800
NPI assigned
Jun 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 002052-1 NY Primary

Addresses

Primary practice location

3003 New Hyde Park Rd
Suite 409
New Hyde Park, NY 11042-1206

Mailing address

3003 New Hyde Park Rd
Suite 409
New Hyde Park, NY 11042-1206
Phone (516) 775-2800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060607000107 NY Practitioner - Qualified Audiologist 4981615093 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ENT and Allergy Associates LLPGroup PAC ID 0749193662, 431 clinicians

Practice addresses (Care Compare)

1086 N Broadway
Suite 220
Yonkers, NY 10701-1112
Phone (914) 963-8588

1500 Route 112
BLDG 4
Port Jefferson Station, NY 11776-8055
Phone (631) 928-0188

Merit-based Incentive Payment System (MIPS)

Final score
94.45 of 100Reported as group
Quality
89.91
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002052-1NYMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
ENT and Allergy Associates LLP CurrentSince Dec 13, 2010 Accepting new patients

Locations

3003 New Hyde Park Rd
Ste 409
New Hyde Park, NY 11042
Phone (516) 224-2400

1500 Route 112
Bldg 4
Port Jefferson Station, NY 11776
Phone (631) 574-8354

1086 N Broadway
Ste 220
Yonkers, NY 10701
Phone (914) 279-9500

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296518400000",
    "number": "1336187640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 NEW HYDE PARK RD",
            "address_2": "SUITE 409",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421206",
            "telephone_number": "516-775-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 NEW HYDE PARK RD",
            "address_2": "SUITE 409",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421206",
            "telephone_number": "516-775-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESEMANN",
        "first_name": "CAROL",
        "name_prefix": "Dr.",
        "credential": "AU.D. CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-02",
        "last_updated": "2011-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "002052-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2011; 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.