Erica Lauren Richman, AU.D.
Individual provider Active NPI Audiologist · Lake Success, NY
NPI 1629402201 · NPPES record last updated May 25, 2016
Key facts
- NPI
- 1629402201
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Audiologist 231H00000X
- License
- 2492 (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
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160711001553 | NY | Practitioner - Qualified Audiologist | 0143512236 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002492 | NY | MD | Acupuncturist |
| 2492 | NY | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hearing Health PA, LLC | Audiologist | Current |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 2492 | NY | Yes |
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
Other providers in Lake Success, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 25, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.