Active NPI
Lisa Robin Zollman, MA CCC A
- Audiologist
- Ridgewood, NY
National Provider Identifier
1669597761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 0012261
- Practice address
- 311 Saint Nicholas Ave
Ridgewood, NY 11385-2296 - Phone
- (718) 416-3277
- NPI assigned
- Mar 20, 2007
- Last updated
- Jul 22, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Aid Equipment | 332S00000X | 001226-1 | NY | |
| Audiologist | 231H00000X | 0012261 | NY | Primary |
Addresses
Primary practice location
311 Saint Nicholas Ave
Ridgewood, NY 11385-2296
Mailing address
311 Saint Nicholas Ave
Ridgewood, NY 11385-2296
Phone (718) 416-3277
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01987475 | Medicaid | NY |
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, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
311 Saint Nicholas Ave
Ridgewood, NY 11385-2296
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0012261 | NY | MD | Audiologist |
| 001226-1 | NY | MD | Hearing Aid Equipment |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Irene Safir Audiology PC | Current | Accepting new patients |
Locations
5519 Metropolitan Ave
Ridgewood, NY 11385
Phone (718) 416-3277
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
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.
-
- Audiologist-Hearing Aid Fitter
- Ridgewood, NY
- NPI 1003186990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469145600000",
"number": "1669597761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 SAINT NICHOLAS AVE",
"city": "RIDGEWOOD",
"state": "NY",
"postal_code": "113852296",
"telephone_number": "718-416-3277",
"fax_number": "718-456-1491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 SAINT NICHOLAS AVE",
"city": "RIDGEWOOD",
"state": "NY",
"postal_code": "113852296",
"telephone_number": "718-416-3277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZOLLMAN",
"first_name": "LISA",
"middle_name": "ROBIN",
"credential": "MA CCC A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-20",
"last_updated": "2016-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "332S00000X",
"taxonomy_group": "",
"desc": "Hearing Aid Equipment",
"state": "NY",
"license": "001226-1",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NY",
"license": "0012261",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01987475",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ridgewood, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2016; 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.