Active NPI
Deena Bloom, AU.D
- Assistive Technology Supplier Audiologist
- Lawrence, NY
National Provider Identifier
1669222527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistive Technology Supplier Audiologist
- License
- 003244
- Practice address
- 290 Central Ave Ste 116
Lawrence, NY 11559-8507 - Phone
- (516) 239-6400
- NPI assigned
- Mar 25, 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 |
|---|---|---|---|---|
| Assistive Technology Supplier Audiologist | 231HA2500X | 003244 | NY | Primary |
Addresses
Primary practice location
290 Central Ave Ste 116
Lawrence, NY 11559-8507
Mailing address
290 Central Ave Ste 116
Lawrence, NY 11559-8507
Phone (561) 239-6400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
290 Central Ave
Suite 116
Lawrence, NY 11559-8507
Phone (516) 239-6400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wilks Hearing Center Inc | Assistive Technology Supplier | Current | Accepting new patients |
Locations
290 Central Ave
Ste 116
Lawrence, NY 11559
Phone (516) 239-6400
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711324800000",
"number": "1669222527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "290 CENTRAL AVE STE 116",
"city": "LAWRENCE",
"state": "NY",
"postal_code": "115598507",
"telephone_number": "561-239-6400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "290 CENTRAL AVE STE 116",
"city": "LAWRENCE",
"state": "NY",
"postal_code": "115598507",
"telephone_number": "516-239-6400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLOOM",
"first_name": "DEENA",
"name_prefix": "Dr.",
"credential": "AU.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-25",
"last_updated": "2024-03-25",
"certification_date": "2024-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "231HA2500X",
"taxonomy_group": "",
"desc": "Audiologist, Assistive Technology Supplier",
"state": "NY",
"license": "003244",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lawrence, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; 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.