Individual provider Active NPI

Dina Marie Parolisi, M.S., CCC-A

  • Assistive Technology Supplier Audiologist
  • Kew Gardens, NY
National Provider Identifier
1467488544
Registry record updated Oct 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistive Technology Supplier AudiologistTaxonomy code 231HA2500X
License
002049-1 Issued in NY
Practice address
11940 Metropolitan Ave
Suite E1
Kew Gardens, NY 11415-2600
Phone
(718) 849-0624
Fax
(718) 849-4935
NPI assigned
Jun 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assistive Technology Supplier Audiologist 231HA2500X 002049-1 NY Primary

Addresses

Primary practice location

11940 Metropolitan Ave
Suite E1
Kew Gardens, NY 11415-2600

Mailing address

11940 Metropolitan Ave
Suite E1
Kew Gardens, NY 11415-2600
Phone (718) 849-0624

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061017000415 NY Practitioner - Qualified Audiologist 0648276535 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kew Gardens Family Physicians, LLPGroup PAC ID 5991701997, 2 clinicians

Practice addresses (Care Compare)

11940 Metropolitan Ave
Apt E1
Kew Gardens, NY 11415-2623
Phone (718) 849-0624

Merit-based Incentive Payment System (MIPS)

Final score
87.01 of 100Reported as group
Quality
75.45
Promoting interoperability
93
Improvement activities
40
Cost
87.08

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
002049-1NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kew Gardens Family Physicians, LLP CurrentSince Sep 29, 2017 Accepting new patients
TJH Medical Services, P.C. Past Accepting new patients

Locations

11940 Metropolitan Ave
Apt E1
Kew Gardens, NY 11415

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": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191542400000",
    "number": "1467488544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11940 METROPOLITAN AVE",
            "address_2": "SUITE E1",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114152600",
            "telephone_number": "718-849-0624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11940 METROPOLITAN AVE",
            "address_2": "SUITE E1",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114152600",
            "telephone_number": "718-849-0624",
            "fax_number": "718-849-4935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAROLISI",
        "first_name": "DINA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2007-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231HA2500X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Supplier",
            "state": "NY",
            "license": "002049-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kew Gardens, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2007; 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.