Olivia Marie Bologna

Primary specialty

AudiologistTaxonomy code 231H00000X

License

00293901 Issued in NY

Practice address

600 Northern Blvd Ste 100
Great Neck, NY 11021-5200

Phone

(516) 482-3223

NPI assigned

Nov 9, 2020

Last updated

Nov 27, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ear Works Audiology PCGroup PAC ID 7517854524, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ear Works Audiology PC

  • Audiologist
  • Nesconset, NY
  • NPI 1851584841
  Medicare reassignment Care Compare group NPD
• Ear Works Audiology

  • Audiologist
  • New Hyde Park, NY
  • NPI 1376935767
  NPD (past)

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

{
    "created_epoch": "1604880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1477155125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W WALNUT ST",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117353145",
            "telephone_number": "516-754-4549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 NORTHERN BLVD STE 100",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215200",
            "telephone_number": "516-482-3223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLOGNA",
        "first_name": "OLIVIA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-09",
        "last_updated": "2023-11-27",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "00293901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "0000000000",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "oliviabologna@northwell.edu",
            "affiliation": "Y",
            "affiliationName": "Northwell Health",
            "address_1": "600 Northern Blvd Ste 100",
            "city": "Great Neck",
            "state": "NY",
            "country_code": "US",
            "postal_code": "110215200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lauren R Boglioli, MD FACC FACP FCCP
• Genevieve Boivin, D.M.D.
• Danielle Bokhour
• Sri Valli Bolla, DPT
• David Bolocboloc, PT, DPT
• Rhonda Lyssa Boltax
• Gloria Boms, AUD
• Vincent R Bonagura, MD
• Michael Bonanni, DPT
• Bond Orthodontics & Dental Care PLLC

• Audiologist in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Audiologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.