Active NPI
Anita Beatrice Haravon, PH.D., CCC-A
- Audiologist
- New York, NY
National Provider Identifier
1366444044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 41YA00066500
- Practice address
- 1175 Park Ave
Suite 1a
New York, NY 10128-1211 - Phone
- (212) 996-2995
- NPI assigned
- Aug 12, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 001965-1 | NY | |
| Audiologist | 231H00000X | 41YA00066500 | NJ | Primary |
| Audiologist-Hearing Aid Fitter | 237600000X | 14000018441 | NY |
Addresses
Primary practice location
1175 Park Ave
Suite 1a
New York, NY 10128-1211
Mailing address
308 W 82ND St
#12B
New York, NY 10024-5344
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001965-1 | NY | MD | Physical Therapy Assistant |
| 41YA00066500 | NJ | MD | Audiologist |
| 14000018441 | NY | MD | Audiologist-Hearing Aid Fitter |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1366444044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "308 W 82ND ST",
"address_2": "#12B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100245344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1175 PARK AVE",
"address_2": "SUITE 1A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101281211",
"telephone_number": "212-996-2995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARAVON",
"first_name": "ANITA",
"middle_name": "BEATRICE",
"name_prefix": "Dr.",
"credential": "PH.D., CCC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-12",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NY",
"license": "001965-1",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NJ",
"license": "41YA00066500",
"primary": true
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "NY",
"license": "14000018441",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.