Active NPI
Sabrina Nicole Raineri, AUD
- Audiologist
- Hicksville, NY
National Provider Identifier
1649995846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 003134
- Practice address
- 73A E Old Country Rd
Hicksville, NY 11801-4200 - Phone
- (516) 520-8736
- Fax
- (516) 433-4840
- NPI assigned
- Oct 10, 2022
- Last updated
- Dec 17, 2024
- Sex
- Female
- Sole proprietor
- No
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 | 003134 | NY | Primary |
Addresses
Primary practice location
73A E Old Country Rd
Hicksville, NY 11801-4200
Mailing address
73A E Old Country Rd
Hicksville, NY 11801-4200
Phone (516) 520-8736
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14000069643 | Other | NY | STATE DISPENSING LICENSE |
| 003134 | Other | NY | STATE LICENSE |
Other names 1
- Dr. Sabrina Nicole Lee
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003134 | NY | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Audiology Distribution, LLC | Current | Accepting new patients |
Locations
73 E Old Country Rd
Hicksville, NY 11801
73 E Old Country Rd
#A
Hicksville, NY 11801
Phone (516) 520-8736
1776 Broadway
New York, NY 10019
Phone (212) 399-7329
Organizations & group practices 1
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": "1665360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734393600000",
"number": "1649995846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "73A E OLD COUNTRY RD",
"city": "HICKSVILLE",
"state": "NY",
"postal_code": "118014200",
"telephone_number": "516-520-8736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "73A E OLD COUNTRY RD",
"city": "HICKSVILLE",
"state": "NY",
"postal_code": "118014200",
"telephone_number": "516-520-8736",
"fax_number": "516-433-4840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAINERI",
"first_name": "SABRINA",
"middle_name": "NICOLE",
"name_prefix": "Dr.",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-10",
"last_updated": "2024-12-17",
"certification_date": "2024-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NY",
"license": "003134",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE DISPENSING LICENSE",
"identifier": "14000069643",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "003134",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SABRINA",
"last_name": "LEE",
"middle_name": "NICOLE",
"prefix": "DR.",
"credential": "AUD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Hicksville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; 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.