Organization Active NPI

J Waligora Audiology PC

  • Audiologist
  • East Syracuse, NY
National Provider Identifier
1366621617
Registry record updated Apr 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
000093-1 Issued in NY
Legal business name
J WALIGORA AUDIOLOGY PC
Practice address
6700 Kirkville Rd
Suite 107
East Syracuse, NY 13057-9305
Phone
(315) 463-1724
Fax
(315) 463-4020
NPI assigned
Nov 2, 2007
Last updated
Apr 21, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2015

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

Authorized official

Name
Mr. Roger Waligora
Title
Office Manager
Phone
(315) 463-1724

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 000093-1 NY Primary

Addresses

Primary practice location

6700 Kirkville Rd
Suite 107
East Syracuse, NY 13057-9305

Mailing address

6700 Kirkville Rd
Suite 107
East Syracuse, NY 13057-9305
Phone (315) 463-1724

National Provider Directory

National Provider Directory

Locations

6700 Kirkville Rd
Ste 107
East Syracuse, NY 13057
Phone (315) 463-1724

NPI Registry JSON

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

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429574400000",
    "number": "1366621617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 KIRKVILLE RD",
            "address_2": "SUITE 107",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130579305",
            "telephone_number": "315-463-1724",
            "fax_number": "315-463-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 KIRKVILLE RD",
            "address_2": "SUITE 107",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130579305",
            "telephone_number": "315-463-1724",
            "fax_number": "315-463-4020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J WALIGORA AUDIOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-02",
        "last_updated": "2015-04-21",
        "status": "A",
        "authorized_official_last_name": "WALIGORA",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "315-463-1724",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "000093-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2015; 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.