Individual provider Active NPI

Michael Colongo, BC-HIS

  • Hearing Instrument Specialist
  • North Miami, FL
National Provider Identifier
1346434503
Registry record updated Aug 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
AS1378 Issued in FL
Practice address
13472 Biscayne Blvd
North Miami, FL 33181-2019
Phone
(954) 367-4567
Fax
(954) 367-4569
NPI assigned
Aug 30, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2007

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 AS1378 FL Primary

Addresses

Primary practice location

13472 Biscayne Blvd
North Miami, FL 33181-2019

Mailing address

3595 Sheridan St
Suite 105
Hollywood, FL 33021-3657
Phone (954) 367-4567

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
AS1378FLMDHearing Instrument Specialist

NPI Registry JSON

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188432000000",
    "number": "1346434503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3595 SHERIDAN ST",
            "address_2": "SUITE 105",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213657",
            "telephone_number": "954-367-4567",
            "fax_number": "954-367-4569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13472 BISCAYNE BLVD",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331812019",
            "telephone_number": "954-367-4567",
            "fax_number": "954-367-4569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLONGO",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "BC-HIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-30",
        "last_updated": "2007-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "FL",
            "license": "AS1378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2007; 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.