Active NPI
William Ellis, AU.D.
- Audiologist
- New Hyde Park, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 000993-1
- Practice address
- 430 Lakeville Rd
Hearing and Speech
New Hyde Park, NY 11042-1121 - Phone
- (718) 470-8910
- Fax
- (718) 347-8241
- NPI assigned
- Apr 2, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 000993-1 | NY | Primary |
Addresses
Primary practice location
430 Lakeville Rd
Hearing and Speech
New Hyde Park, NY 11042-1121
Mailing address
108 Margaret Rd
N Massapequa, NY 11758-1903
Phone (516) 579-6248
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- Quality
- 79.77
- Promoting interoperability
- 88.77
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000993-1 | NY | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore-Lij Medical PC | Current | Accepting new patients |
Locations
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
611 Northern Blvd
Great Neck, NY 11021
Phone (516) 325-7000
430 Lakeville Rd
North New Hyde Park, NY 11042
Phone (718) 470-7550
27005 76th Ave
North New Hyde Pk, NY 11040
300 Community Dr
Plandome, NY 11030
391 N Country Rd
Smithtown, NY 11787
Phone (631) 361-2020
972 Brush Hollow Rd
Westbury, NY 11590
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urology Physician
- Great Neck, NY
- NPI 1053688572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390780800000",
"number": "1376716035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 MARGARET RD",
"city": "N MASSAPEQUA",
"state": "NY",
"postal_code": "117581903",
"telephone_number": "516-579-6248",
"fax_number": "516-579-6248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 LAKEVILLE RD",
"address_2": "HEARING AND SPEECH",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110421121",
"telephone_number": "718-470-8910",
"fax_number": "718-347-8241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIS",
"first_name": "WILLIAM",
"name_prefix": "Mr.",
"credential": "AU.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-04-02",
"last_updated": "2014-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NY",
"license": "000993-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Hyde Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.