Active NPI
Pouya Bral, MA,CCC-A
- Audiologist-Hearing Aid Fitter
- New York, NY
National Provider Identifier
1487827879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- 001742-1
- Practice address
- 461 Park Ave S FL 5
New York, NY 10016-6892 - Phone
- (347) 815-4327
- NPI assigned
- Apr 8, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | 001742-1 | NY | Primary |
Addresses
Primary practice location
461 Park Ave S FL 5
New York, NY 10016-6892
Mailing address
461 Park Ave S FL 5
New York, NY 10016-6892
Phone (347) 815-4327
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150421001167 | NY | Practitioner - Qualified Audiologist | 8628396751 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001742-1 | NY | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1487827879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "461 PARK AVE S FL 5",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100166892",
"telephone_number": "347-815-4327",
"fax_number": "212-679-6472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "461 PARK AVE S FL 5",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100166892",
"telephone_number": "347-815-4327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAL",
"first_name": "POUYA",
"credential": "MA,CCC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-08",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "NY",
"license": "001742-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.