Active NPI
Melissa Carlino Diaz, MA, CCC -A
- Audiologist
- Flushing, NY
National Provider Identifier
1629356316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 1630
- Practice address
- 4500 Parsons Blvd
Audiology Department, RM 2018 Flushing Hospital
Flushing, NY 11355 - Phone
- (718) 670-5911
- Fax
- (718) 670-4453
- NPI assigned
- Jul 28, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 1630 | NY | Primary |
Addresses
Primary practice location
4500 Parsons Blvd
Audiology Department, RM 2018 Flushing Hospital
Flushing, NY 11355
Mailing address
4500 Parsons Blvd
Audiology Department, RM 2018 Flushing Hospital
Flushing, NY 11355
Phone (718) 670-5911
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1630 | NY | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311811200000",
"number": "1629356316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4500 PARSONS BLVD",
"address_2": "AUDIOLOGY DEPARTMENT, RM 2018 FLUSHING HOSPITAL",
"city": "FLUSHING",
"state": "NY",
"postal_code": "11355",
"telephone_number": "718-670-5911",
"fax_number": "718-670-4453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 PARSONS BLVD",
"address_2": "AUDIOLOGY DEPARTMENT, RM 2018 FLUSHING HOSPITAL",
"city": "FLUSHING",
"state": "NY",
"postal_code": "11355",
"telephone_number": "718-670-5911",
"fax_number": "718-670-4453"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLINO DIAZ",
"first_name": "MELISSA",
"name_prefix": "Mrs.",
"credential": "MA, CCC -A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-28",
"last_updated": "2011-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NY",
"license": "1630",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.