Audra Phillips-Zeledon

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

025062 Issued in NY

Practice address

66 Austin Blvd
C
Commack, NY 11725-5733

Phone

(516) 635-1185

NPI assigned

Dec 9, 2013

Last updated

Dec 9, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1386547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386547200000",
    "number": "1427489905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 AUSTIN BLVD",
            "address_2": "C",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117255733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 AUSTIN BLVD",
            "address_2": "C",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117255733",
            "telephone_number": "516-635-1185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS-ZELEDON",
        "first_name": "AUDRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-09",
        "last_updated": "2013-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NY",
            "license": "025062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine M Peterson Emmons, DPM
• Alicia R Peterson, AU D
• Allison Petite, BA SPECIAL EDUCATION
• Robyn Phiebig
• Jennifer Philippe
• Samantha Bari Phillips
• Phoenix Rising Acupuncture
• Nicole Catherine Pierog, PSY.D.
• Sandy Pierre-Louis
• Thomas Donato Pignataro

• Health Maintenance Organization in Commack, NY
• Providers in Commack, NY by specialty
• Health Maintenance Organization in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2013; 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.