Organization Active NPI

Fortell Research Inc.

  • Audiologist
  • New York, NY
National Provider Identifier
1578437075
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
FORTELL RESEARCH INC.
Practice address
530 Park Ave
New York, NY 10065-8015
Phone
(917) 382-4354
NPI assigned
Sep 30, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Authorized official

Name
Kathleen Wallace, AUD
Title
Principal Audiologist
Phone
(917) 382-4354

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X Primary

Addresses

Primary practice location

530 Park Ave
New York, NY 10065-8015

Mailing address

379 W Broadway Ofc 549
New York, NY 10012-5121
Phone (917) 382-4354

Other names 1

  • Chromatic Inc. Former legal business name

National Provider Directory

National Provider Directory

Locations

379 W Broadway
Ofc 549
New York, NY 10012

NPI Registry JSON

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

{
    "created_epoch": "1759190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759190400000",
    "number": "1578437075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "379 W BROADWAY OFC 549",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100125121",
            "telephone_number": "917-382-4354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100658015",
            "telephone_number": "917-382-4354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORTELL RESEARCH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-30",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "PRINCIPAL AUDIOLOGIST",
        "authorized_official_telephone_number": "917-382-4354",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chromatic Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Sep 30, 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.

Verify at the official NPI Registry.