Organization Active NPI

Marlie Z Incorporated

Doing business as Jenny's Ears

  • Audiologist
  • Nyack, NY
National Provider Identifier
1528548179
Registry record updated Aug 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
002377-1 Issued in NY
Legal business name
MARLIE Z INCORPORATED
Doing business as
Jenny's Ears
Practice address
15 N Mill St Ste 223
Nyack, NY 10960-3015
Phone
(845) 535-1808
Fax
(718) 744-2065
NPI assigned
Aug 14, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2018

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

Authorized official

Name
Mrs. Jenifer Robert, AUD
Title
Owner
Phone
(347) 510-6691

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X 002377-1 NY Primary

Addresses

Primary practice location

15 N Mill St Ste 223
Nyack, NY 10960-3015

Mailing address

15 N Mill St Ste 223
Nyack, NY 10960-3015
Phone (845) 535-1808

Other names 1

  • Jenny's Ears Doing business as

National Provider Directory

National Provider Directory

Locations

15 N Mill St
Ste 223
Nyack, NY 10960
Phone (845) 535-1808

NPI Registry JSON

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

{
    "created_epoch": "1534204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534204800000",
    "number": "1528548179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 N MILL ST STE 223",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109603015",
            "telephone_number": "845-535-1808",
            "fax_number": "718-744-2065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 N MILL ST STE 223",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109603015",
            "telephone_number": "845-535-1808",
            "fax_number": "718-744-2065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARLIE Z INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-14",
        "last_updated": "2018-08-14",
        "status": "A",
        "authorized_official_last_name": "ROBERT",
        "authorized_official_first_name": "JENIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-510-6691",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "NY",
            "license": "002377-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jenny's Ears",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nyack, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2018; 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.