Organization Active NPI

Arthur Podwall PH.D., LLC

  • Audiologist
  • Smithtown, NY
National Provider Identifier
1417023524
Registry record updated Aug 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
ARTHUR PODWALL PH.D., LLC
Practice address
17 Crawford St
Smithtown, NY 11787-1903
Phone
(631) 360-0033
Fax
(631) 780-5985
NPI assigned
Nov 28, 2006
Last updated
Aug 4, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2016

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

Authorized official

Name
Dr. Arthur Podwall, PHDNPI 1164595591
Title
Audiologist & Speech Pathologist
Phone
(631) 360-3222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X Primary
Speech-Language Pathologist 235Z00000X

Addresses

Primary practice location

17 Crawford St
Smithtown, NY 11787-1903

Mailing address

17 Crawford St
Smithtown, NY 11787-1903
Phone (631) 360-0033

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470268800000",
    "number": "1417023524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 CRAWFORD ST",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117871903",
            "telephone_number": "631-360-0033",
            "fax_number": "631-780-5985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 CRAWFORD ST",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117871903",
            "telephone_number": "631-360-0033",
            "fax_number": "631-780-5985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARTHUR PODWALL PH.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2016-08-04",
        "status": "A",
        "authorized_official_last_name": "PODWALL",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_title_or_position": "AUDIOLOGIST & SPEECH PATHOLOGIST",
        "authorized_official_telephone_number": "631-360-3222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2016; 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.