Individual provider Active NPI

Laura Lee Bargallo

  • Hearing Instrument Specialist
  • New York, NY
National Provider Identifier
1639713886
Registry record updated Nov 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
14000060330 Issued in NY
Practice address
222 1St Ave
New York, NY 10009-3430
Phone
(646) 588-0404
NPI assigned
Oct 31, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 14000060330 NY Primary

Addresses

Primary practice location

222 1St Ave
New York, NY 10009-3430

Mailing address

17 Twin CT
Saint Albans, VT 05478-5112
Phone (561) 267-8393

Other practice location 1

420 Lexington Ave Rm 315
New York, NY 10170-0399
Phone (212) 867-6337

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

State licenses

LicenseStateTypeSpecialty
14000060330NYMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology Distribution, LLC CurrentSince Apr 1, 2012 Accepting new patients
Hearusa Inc Past Accepting new patients
Lifestyle Hearing Corporation USA Inc Hearing Instrument Specialist Past Accepting new patients

Locations

555 Oppenheimer Dr
Ste 101
Los Alamos, NM 87544
Phone (505) 661-2405

3791 Southern Blvd SE
Ste 200
Rio Rancho, NM 87124
Phone (505) 933-6315

7232 Austin St
Forest Hills, NY 11375
Phone (718) 577-5121

420 Lexington Ave
Rm 315
New York, NY 10170
Phone (212) 867-6337

222 1st Ave
New York, NY 10009
Phone (646) 588-0404

1100 Long Pond Rd
Ste 110
Rochester, NY 14626
Phone (585) 225-1100

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1572480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1639713886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 TWIN CT",
            "city": "SAINT ALBANS",
            "state": "VT",
            "postal_code": "054785112",
            "telephone_number": "561-267-8393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 1ST AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100093430",
            "telephone_number": "646-588-0404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 Lexington Ave Rm 315",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "101700399",
            "country_code": "US",
            "telephone_number": "212-867-6337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARGALLO",
        "first_name": "LAURA",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-31",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "NY",
            "license": "14000060330",
            "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 Nov 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.