Active NPI
Laura R Wachtel
- Audiologist
- Hawthorne, NY
National Provider Identifier
1508933706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 011654-1
- Practice address
- 1 Skyline Dr
Suite 298
Hawthorne, NY 10532-2157 - Phone
- (914) 345-2400
- Fax
- (914) 345-2665
- NPI assigned
- Nov 30, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 011654-1 | NY | Primary |
| Speech-Language Pathologist | 235Z00000X | 011654-1 | NY |
Addresses
Primary practice location
1 Skyline Dr
Suite 298
Hawthorne, NY 10532-2157
Mailing address
1 Skyline Dr
Suite 298
Hawthorne, NY 10532-2157
Phone (914) 345-2400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011654-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1508933706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 SKYLINE DR",
"address_2": "SUITE 298",
"city": "HAWTHORNE",
"state": "NY",
"postal_code": "105322157",
"telephone_number": "914-345-2400",
"fax_number": "914-345-2665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 SKYLINE DR",
"address_2": "SUITE 298",
"city": "HAWTHORNE",
"state": "NY",
"postal_code": "105322157",
"telephone_number": "914-345-2400",
"fax_number": "914-345-2665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WACHTEL",
"first_name": "LAURA",
"middle_name": "R",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-30",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NY",
"license": "011654-1",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "011654-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hawthorne, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.