Active NPI
Connect Audiology PLLC
- Audiologist
- Pearl River, NY
National Provider Identifier
1598426975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- Legal business name
- CONNECT AUDIOLOGY PLLC
- Practice address
- 275 N Middletown Rd Ste 1G-B
Pearl River, NY 10965-1188 - Phone
- (845) 320-5305
- NPI assigned
- Jan 6, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sreedivya Pradeep, PH.D
- Title
- Owner
- Phone
- (845) 320-5305
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | Primary |
Addresses
Primary practice location
275 N Middletown Rd Ste 1G-B
Pearl River, NY 10965-1188
Mailing address
275 N Middletown Rd Ste 1G-B
Pearl River, NY 10965-1188
Phone (845) 507-3239
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
275 N Middletown Rd
Ste 1GB
Pearl River, NY 10965
Phone (845) 320-5305
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Audiologist
- Pearl River, NY
- NPI 1568610194
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641427200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1665360000000",
"number": "1598426975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 N MIDDLETOWN RD STE 1G-B",
"city": "PEARL RIVER",
"state": "NY",
"postal_code": "109651188",
"telephone_number": "845-507-3239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 N MIDDLETOWN RD STE 1G-B",
"city": "PEARL RIVER",
"state": "NY",
"postal_code": "109651188",
"telephone_number": "845-320-5305"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONNECT AUDIOLOGY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-01-06",
"last_updated": "2022-10-10",
"certification_date": "2022-10-10",
"status": "A",
"authorized_official_last_name": "PRADEEP",
"authorized_official_first_name": "SREEDIVYA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "845-320-5305",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Audiologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pearl River, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.