Active NPI
Audiological Diagnostics, P.C.
- Audiologist
- Brooklyn, NY
National Provider Identifier
1669518452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dassan Ali, SCD., CCC-A
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | Primary | ||
| Audiologist-Hearing Aid Fitter | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 37077 | Other | NY | GHI HMO |
| 5977349 | Other | NY | AETNA |
| 147447 | Other | NY | PREFERRED CARE |
| M0830P | Other | NY | HIP |
| 000423458104 | Other | NY | HEALTH PLUS |
| 161820 | Other | NY | ELDERPLAN |
| 0079201 | Other | NY | GHI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Audiological Diagnostics
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Exclusive Provider Organization
- Brooklyn, NY
- NPI 1558663518
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.
-
- Audiologist
- Brooklyn, NY
- NPI 1326117847
-
- Neurology Physician
- Brooklyn, NY
- NPI 1265514996
-
- Pain Medicine (Anesthesiology) Physician
- New York, NY
- NPI 1992966469
-
- Audiologist-Hearing Aid Fitter
- Brooklyn, NY
- NPI 1477699346
-
- Audiologist-Hearing Aid Fitter
- Brooklyn, NY
- NPI 1184760191
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.