Active NPI
Stella Fulman, AUD, CCC-A
- Audiologist
- Staten Island, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 002031
- Practice address
- 148 New Dorp LN
2ND Floor
Staten Island, NY 10306-3004 - Phone
- (718) 980-0188
- NPI assigned
- Jun 11, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 002031 | NY | Primary |
Addresses
Primary practice location
148 New Dorp LN
2ND Floor
Staten Island, NY 10306-3004
Mailing address
301 Oldfield St
Staten Island, NY 10306-5009
Phone (718) 757-9658
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
148 New Drop Lane
2ND Floor
Staten Island, NY 10306-3004
Phone (718) 980-0188
2080 Hwy 35
Suite 100
Holmdel, NJ 07733-1090
Phone (718) 980-0188
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Audiology Island PC | Audiologist | Current | Accepting new patients |
| Audiology Island of New Jersey, PC | Audiologist | Current | Accepting new patients |
Locations
10 Auer Ct
Ste 10C
East Brunswick, NJ 08816
2080 State Route 35
Ste 100
Holmdel, NJ 07733
Phone (718) 980-0188
148 New Dorp Ln
#2
Staten Island, NY 10306
Phone (718) 483-7330
245 Bricktown Way
Ste E
Staten Island, NY 10309
11 Ralph Pl
Ste 304
Staten Island, NY 10304
Phone (718) 980-0188
Organizations & group practices 2
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.
-
- Audiologist
- Staten Island, NY
- NPI 1558623272
-
- Audiologist
- Holmdel, NJ
- NPI 1902586407
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389052800000",
"number": "1679515233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 OLDFIELD ST",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103065009",
"telephone_number": "718-757-9658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "148 NEW DORP LN",
"address_2": "2ND FLOOR",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103063004",
"telephone_number": "718-980-0188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FULMAN",
"first_name": "STELLA",
"name_prefix": "Dr.",
"credential": "AUD, CCC-A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-11",
"last_updated": "2014-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NY",
"license": "002031",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2014; 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.