Active NPI
Susan D Reilly, MS,CCC-A
- Audiologist
- Sleepy Hollow, NY
National Provider Identifier
1659525376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 001018
- Practice address
- 777 No Broadway, Suite 303
Phelps Memorial Hospital
Sleepy Hollow, NY 10591 - Phone
- (914) 366-3010
- NPI assigned
- Nov 7, 2008
- 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 | 001018 | NY | Primary |
Addresses
Primary practice location
777 No Broadway, Suite 303
Phelps Memorial Hospital
Sleepy Hollow, NY 10591
Mailing address
30 Springwood Ave
Ardsley, NY 10502-2507
Phone (914) 419-5544
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)
- Enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226016000000",
"number": "1659525376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 SPRINGWOOD AVE",
"city": "ARDSLEY",
"state": "NY",
"postal_code": "105022507",
"telephone_number": "914-419-5544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 NO BROADWAY, SUITE 303",
"address_2": "PHELPS MEMORIAL HOSPITAL",
"city": "SLEEPY HOLLOW",
"state": "NY",
"postal_code": "10591",
"telephone_number": "914-366-3010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REILLY",
"first_name": "SUSAN",
"middle_name": "D",
"credential": "MS,CCC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-07",
"last_updated": "2008-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NY",
"license": "001018",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sleepy Hollow, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.