Individual provider Active NPI

Joseph E Bialobreski, AUDIOLOGIST

  • Audiologist-Hearing Aid Fitter
  • Ithaca, NY
National Provider Identifier
1356558258
Registry record updated Oct 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
205520096 Issued in NY
Practice address
2 Ascot PL
Ithaca, NY 14850-1072
Phone
(607) 266-0194
Fax
(607) 266-0176
NPI assigned
May 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 205520096 NY Primary

Addresses

Primary practice location

2 Ascot PL
Ithaca, NY 14850-1072

Mailing address

2 Ascot PL
Ithaca, NY 14850-1072
Phone (607) 266-0194

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
001695NYMDMarriage & Family Therapist
205520096NYMDAudiologist-Hearing Aid Fitter

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319414400000",
    "number": "1356558258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 ASCOT PL",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501072",
            "telephone_number": "607-266-0194",
            "fax_number": "607-266-0176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 ASCOT PL",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501072",
            "telephone_number": "607-266-0194",
            "fax_number": "607-266-0176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIALOBRESKI",
        "first_name": "JOSEPH",
        "middle_name": "E",
        "credential": "AUDIOLOGIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2011-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NY",
            "license": "205520096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ithaca, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2011; 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.