Active NPI
Jona Haberman, AU.D
- Audiologist
- New York, NY
National Provider Identifier
1639650286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 002819-1
- Practice address
- 110 E 59TH St RM 10a
New York, NY 10022-1359 - Phone
- (212) 434-4582
- NPI assigned
- Aug 22, 2018
- 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 | 002819-1 | NY | Primary |
Addresses
Primary practice location
110 E 59TH St RM 10a
New York, NY 10022-1359
Mailing address
3116 32ND St Apt 1C
Astoria, NY 11106-2500
Phone (347) 679-3102
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190501000982 | NY | Practitioner - Qualified Audiologist | 5799027389 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lenox Hill Hospital Medical PC
Practice addresses (Care Compare)
100 E 77TH St
New York, NY 10075-1850
Phone (212) 434-4500
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- Quality
- 79.77
- Promoting interoperability
- 88.77
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002819-1 | NY | MD | Professional Counselor |
Practice roles (2 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lenox Hill Hospital Medical, PC | Current | Accepting new patients | |
| Lenox Hill Hospital | Past | Accepting new patients |
Locations
110 E 59th St
Rm 10A
New York, NY 10022
Phone (212) 523-6720
100 E 77th St
New York, NY 10075
Phone (212) 434-2606
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
Interoperability endpoints
- jhaberman49246@northwell.direct-ci.com
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 and National Provider Directory roles.
-
- General Acute Care Hospital
- New York, NY
- NPI 1316147176
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549584000000",
"number": "1639650286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3116 32ND ST APT 1C",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111062500",
"telephone_number": "347-679-3102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 E 59TH ST RM 10A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100221359",
"telephone_number": "212-434-4582"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HABERMAN",
"first_name": "JONA",
"name_prefix": "Dr.",
"credential": "AU.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-22",
"last_updated": "2019-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NY",
"license": "002819-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Feb 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.