Organization Active NPI

Ny Audiology PLLC

  • Assistive Technology Practitioner Audiologist
  • Flushing, NY
National Provider Identifier
1457504516
Registry record updated Jan 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistive Technology Practitioner AudiologistTaxonomy code 231HA2400X
License
001955 Issued in NY
Legal business name
NY AUDIOLOGY PLLC
Practice address
13618 39TH Ave
Suite 1005
Flushing, NY 11354-5400
Phone
(718) 968-3333
Fax
(718) 968-3333
NPI assigned
Nov 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2013

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

Authorized official

Name
Winnie Feng, AUD.
Title
Audiologist
Phone
(718) 968-3333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assistive Technology Practitioner AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231HA2400X 001955 NY Primary

Addresses

Primary practice location

13618 39TH Ave
Suite 1005
Flushing, NY 11354-5400

Mailing address

13618 39TH Ave
Suite 1005
Flushing, NY 11354-5400
Phone (718) 968-3333

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130731000696 NY Part B Supplier - Clinic/Group Practice 2961643077 Receives reassigned benefits from 2 practitioners
Practice locations: Flushing, NY

National Provider Directory

National Provider Directory

Locations

13618 39th Ave
Ste 1005
Flushing, NY 11354
Phone (718) 968-3333

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1225584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357171200000",
    "number": "1457504516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13618 39TH AVE",
            "address_2": "SUITE 1005",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545400",
            "telephone_number": "718-968-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13618 39TH AVE",
            "address_2": "SUITE 1005",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545400",
            "telephone_number": "718-968-3333",
            "fax_number": "718-968-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NY AUDIOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-02",
        "last_updated": "2013-01-03",
        "status": "A",
        "authorized_official_last_name": "FENG",
        "authorized_official_first_name": "WINNIE",
        "authorized_official_title_or_position": "AUDIOLOGIST",
        "authorized_official_telephone_number": "718-968-3333",
        "authorized_official_credential": "AUD."
    },
    "taxonomies": [
        {
            "code": "231HA2400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist, Assistive Technology Practitioner",
            "state": "NY",
            "license": "001955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.