Individual provider Active NPI

Melanie Herzfeld, AU.D.

  • Audiologist
  • Woodbury, NY
National Provider Identifier
1568464865
Registry record updated Mar 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
000134 Issued in NY
Practice address
113 Crossways Park Dr
Suite 101
Woodbury, NY 11797-2044
Phone
(516) 364-0011
Fax
(516) 364-0013
NPI assigned
Jun 1, 2005
Last updated
Mar 31, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2014

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 000134 NY Primary
Assistive Technology Practitioner Audiologist 231HA2400X 000134 NY
Assistive Technology Supplier Audiologist 231HA2500X 000134 NY
Audiologist-Hearing Aid Fitter 237600000X 14000002070 NY

Addresses

Primary practice location

113 Crossways Park Dr
Suite 101
Woodbury, NY 11797-2044

Mailing address

113 Crossways Park Dr
Suite 101
Woodbury, NY 11797-2044
Phone (516) 364-0011

Other identifiers 9

IdentifierTypeStateIssuer
000134OtherNYHIP
390014OtherNYCONNECTICARE
71782OtherNYUNITEDHEALTHCARE
M72841OtherNYEMPIRE BLUE CROSS
5924241OtherNYAETNA
930OtherNYVYTRA
200093420OtherNYVARIOUS INSURANCES
3C6565OtherNYHEALTHNET
P885877OtherNYOXFORD

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
000134NYMDAthletic Trainer
14000002070NYMDAudiologist-Hearing Aid Fitter

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396224000000",
    "number": "1568464865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 CROSSWAYS PARK DR",
            "address_2": "SUITE 101",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117972044",
            "telephone_number": "516-364-0011",
            "fax_number": "516-364-0013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 CROSSWAYS PARK DR",
            "address_2": "SUITE 101",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117972044",
            "telephone_number": "516-364-0011",
            "fax_number": "516-364-0013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERZFELD",
        "first_name": "MELANIE",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-01",
        "last_updated": "2014-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "000134",
            "primary": true
        },
        {
            "code": "231HA2400X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Practitioner",
            "state": "NY",
            "license": "000134",
            "primary": false
        },
        {
            "code": "231HA2500X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Supplier",
            "state": "NY",
            "license": "000134",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NY",
            "license": "14000002070",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "000134",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "390014",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITEDHEALTHCARE",
            "identifier": "71782",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS",
            "identifier": "M72841",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5924241",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VYTRA",
            "identifier": "930",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VARIOUS INSURANCES",
            "identifier": "200093420",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "3C6565",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P885877",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2014; 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.