Organization Active NPI

Wise Audiology PC

  • Audiologist-Hearing Aid Fitter
  • Rego Park, NY
National Provider Identifier
1508458753
Registry record updated Feb 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
Legal business name
WISE AUDIOLOGY PC
Practice address
9811 Queens Blvd Ste 1D
Rego Park, NY 11374-3309
Phone
(718) 554-0017
Fax
(718) 440-3575
NPI assigned
Feb 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2021

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

Authorized official

Name
Dr. Sofya Shlafman, AUDNPI 1083873053
Title
President/Audiologist
Phone
(718) 554-0017

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid FitterGroup: 193400000X SINGLE SPECIALTY GROUP 237600000X Primary

Addresses

Primary practice location

9811 Queens Blvd Ste 1D
Rego Park, NY 11374-3309

Mailing address

9811 Queens Blvd Ste 1D
Rego Park, NY 11374-3309
Phone (718) 554-0017

Other identifiers 1

IdentifierTypeStateIssuer
03727144MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1612828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612828800000",
    "number": "1508458753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9811 QUEENS BLVD STE 1D",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743309",
            "telephone_number": "718-554-0017",
            "fax_number": "718-440-3575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9811 QUEENS BLVD STE 1D",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743309",
            "telephone_number": "718-554-0017",
            "fax_number": "718-440-3575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISE AUDIOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-09",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A",
        "authorized_official_last_name": "SHLAFMAN",
        "authorized_official_first_name": "SOFYA",
        "authorized_official_title_or_position": "PRESIDENT/AUDIOLOGIST",
        "authorized_official_telephone_number": "718-554-0017",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03727144",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; 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.