Organization Active NPI

Audiological Diagnostics, P.C.

  • Audiologist
  • Brooklyn, NY
National Provider Identifier
1669518452
Registry record updated Jul 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
AUDIOLOGICAL DIAGNOSTICS, P.C.
Practice address
447 77TH St
Brooklyn, NY 11209-3205
Phone
(718) 745-2826
Fax
(718) 745-0040
NPI assigned
Jan 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2008

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

Authorized official

Name
Dassan Ali, SCD., CCC-ANPI 1326117847
Title
President
Phone
(718) 745-2826

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 231H00000X Primary
Audiologist-Hearing Aid FitterGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 237600000X 15000002425 NY

Addresses

Primary practice location

447 77TH St
Brooklyn, NY 11209-3205

Mailing address

447 77TH St
Brooklyn, NY 11209-3205
Phone (718) 745-2826

Other identifiers 7

IdentifierTypeStateIssuer
37077OtherNYGHI HMO
5977349OtherNYAETNA
147447OtherNYPREFERRED CARE
M0830POtherNYHIP
000423458104OtherNYHEALTH PLUS
161820OtherNYELDERPLAN
0079201OtherNYGHI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080623000344 NY Part B Supplier - Clinic/Group Practice 4082504055 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY; Middle Village, NY

National Provider Directory

National Provider Directory
Tax ID family
Audiological Diagnostics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

350 Broadway
#205
New York, NY 10013
Phone (212) 227-2368

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216166400000",
    "number": "1669518452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "447 77TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093205",
            "telephone_number": "718-745-2826",
            "fax_number": "718-745-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "447 77TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093205",
            "telephone_number": "718-745-2826",
            "fax_number": "718-745-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUDIOLOGICAL DIAGNOSTICS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2008-07-16",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "DASSAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-745-2826",
        "authorized_official_credential": "SCD., CCC-A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NY",
            "license": "15000002425",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI HMO",
            "identifier": "37077",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5977349",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "147447",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "M0830P",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS",
            "identifier": "000423458104",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ELDERPLAN",
            "identifier": "161820",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0079201",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; 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.

Verify at the official NPI Registry.