Individual provider Active NPI

Erica Lauren Richman, AU.D.

  • Audiologist
  • Lake Success, NY
National Provider Identifier
1629402201
Registry record updated May 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
2492 Issued in NY
Practice address
3003 New Hyde Park Road
Suite 409
Lake Success, NY 11042
Phone
(516) 775-2800
Fax
(516) 775-0859
NPI assigned
Aug 30, 2013
Last updated
May 25, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 2492 NY Primary

Addresses

Primary practice location

3003 New Hyde Park Road
Suite 409
Lake Success, NY 11042

Mailing address

560 White Plains Road -Enta
Suite 615
Tarrytown, NY 10591-6802
Phone (914) 333-5801

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160711001553 NY Practitioner - Qualified Audiologist 0143512236 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2492NYMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hearing Health PA, LLC Audiologist CurrentSince Aug 30, 2021 Accepting new patients
Ideal Practice Management Group Mi LLC Audiologist Past Accepting new patients

Locations

35 Waterview Blvd
Ste 305
Parsippany, NJ 07054

99 Hillside Ave
Ste 99O
Williston Pk, NY 11596
Phone (516) 873-9742

113 Crossways Park Dr
Ste 101
Woodbury, NY 11797
Phone (516) 361-0011

Organizations & group practices 2

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": "1377820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464134400000",
    "number": "1629402201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 WHITE PLAINS ROAD -ENTA",
            "address_2": "SUITE 615",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105916802",
            "telephone_number": "914-333-5801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 NEW HYDE PARK ROAD",
            "address_2": "SUITE 409",
            "city": "LAKE SUCCESS",
            "state": "NY",
            "postal_code": "11042",
            "telephone_number": "516-775-2800",
            "fax_number": "516-775-0859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHMAN",
        "first_name": "ERICA",
        "middle_name": "LAUREN",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-30",
        "last_updated": "2016-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "2492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Success, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2016; 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.

Verify at the official NPI Registry.