Bonnie Rubin Audiology of Rye Ridge, PLLC

Key facts

NPI: 1346348208
Entity type: Organization (NPI type 2)
Primary specialty: Audiologist 231H00000X
Legal business name: BONNIE RUBIN AUDIOLOGY OF RYE RIDGE, PLLC
Practice address: 118 S Ridge St
Suite 4
Rye Brook, NY 10573-2825
Phone: (914) 935-3292
Fax: (914) 935-3294
NPI assigned: Sep 21, 2006
Organization subpart: No

Authorized official

Name: Ms. Bonnie Renee Rubin, AU.D. NPI 1841207487
Title: Owner/President
Phone: (914) 935-3292

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Bonnie R Rubin, AUD Audiologist · Rye Brook, NY · NPI 1841207487

Medicare reassignment Care Compare group NPD Authorized official AUDIOLOGIST · NY
Sarah I Balsam, AU.D. Audiologist · Rye Brook, NY · NPI 1205268802

Medicare reassignment Care Compare group NPD AUDIOLOGIST · NY

Medicare participation

Medicare fee-for-service enrollment: Enrolled in NY

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20060927000222	NY	Part B Supplier - Clinic/Group Practice	8527063478	Receives reassigned benefits from 2 practitioners Practice locations: Rye Brook, NY

National Provider Directory

Locations

118 S Ridge St
Ste 4
Rye Brook, NY 10573
Phone (323) 651-5107

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Audiologist Group: 193400000X SINGLE SPECIALTY GROUP	231H00000X			Yes

Addresses

Primary practice location

118 S Ridge St
Suite 4
Rye Brook, NY 10573-2825

Mailing address

118 S Ridge St
Suite 4
Rye Brook, NY 10573-2825
Phone (914) 935-3292

Other names

Hearing Center at Rye Ridge, Inc. Former legal business name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346348208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 S RIDGE ST",
            "address_2": "SUITE 4",
            "city": "RYE BROOK",
            "state": "NY",
            "postal_code": "105732825",
            "telephone_number": "914-935-3292",
            "fax_number": "914-935-3294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 S RIDGE ST",
            "address_2": "SUITE 4",
            "city": "RYE BROOK",
            "state": "NY",
            "postal_code": "105732825",
            "telephone_number": "914-935-3292",
            "fax_number": "914-935-3294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONNIE RUBIN AUDIOLOGY OF RYE RIDGE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "914-935-3292",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hearing Center at Rye Ridge, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Rye Brook, NY

All providers in Rye Brook, NY · Audiologist in New York

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.