Individual provider Active NPI

Rosette Ditkowsky Simon, AU.D., CCC-A

  • Audiologist
  • Miami, FL
National Provider Identifier
1386816197
Registry record updated Nov 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY1209 Issued in FL
Practice address
9900 SW 107TH Ave Ste 202
Miami, FL 33176-2809
Phone
(305) 595-1530
Fax
(305) 595-1574
NPI assigned
Apr 1, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AY1209 FL Primary

Addresses

Primary practice location

9900 SW 107TH Ave Ste 202
Miami, FL 33176-2809

Mailing address

9900 SW 107TH Ave Ste 202
Miami, FL 33176-2809
Phone (305) 595-1530

Other identifiers 1

IdentifierTypeStateIssuer
039366500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080626000580 FL Practitioner - Qualified Audiologist 2163594714 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elwick Audiology and Hearing Aid Services IncGroup PAC ID 0547617847, 3 clinicians

Practice addresses (Care Compare)

9900 SW 107TH Ave
Suite 202
Miami, FL 33176-2809
Phone (305) 595-1530

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AY1209FLMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Elwick Audiology & Hearing Aid Services, Inc CurrentSince Nov 1, 2023 Accepting new patients
Florida ENT Associates, Inc. CurrentSince Jan 17, 2022 Accepting new patients

Locations

50 Barracuda Ln
Key Largo, FL 33037
Phone (305) 367-2600

9900 SW 107th Ave
Ste 202
Miami, FL 33176
Phone (305) 595-1530

9275 SW 152nd St
Ste 212
Palmetto Bay, FL 33157
Phone (305) 254-9631

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637625600000",
    "number": "1386816197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 SW 107TH AVE STE 202",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762809",
            "telephone_number": "305-595-1530",
            "fax_number": "305-595-1574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 SW 107TH AVE STE 202",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762809",
            "telephone_number": "305-595-1530",
            "fax_number": "305-595-1574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "ROSETTE",
        "middle_name": "DITKOWSKY",
        "name_prefix": "Dr.",
        "credential": "AU.D., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-01",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY1209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "039366500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; 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.

Verify at the official NPI Registry.