Organization Active NPI

Placid Audiology, PLLC

  • Audiologist
  • Lake Placid, NY
National Provider Identifier
1679933014
Registry record updated Feb 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
001368-1 Issued in NY
Legal business name
PLACID AUDIOLOGY, PLLC
Practice address
2241 Saranac Ave
Ste #4
Lake Placid, NY 12946-1107
Phone
(518) 523-0090
NPI assigned
Feb 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2016

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

Authorized official

Name
Karen M Wolff, AUDNPI 1972720720
Title
Audiologist/Owner
Phone
(518) 891-1739

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X 001368-1 NY Primary

Addresses

Primary practice location

2241 Saranac Ave
Ste #4
Lake Placid, NY 12946-1107

Mailing address

1936 Saranac Ave
Ste 108
Lake Placid, NY 12946-1114

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250917002713 NY Part B Supplier - Clinic/Group Practice 5890299416 Receives reassigned benefits from 2 practitioners
Practice locations: Lake Placid, NY

National Provider Directory

National Provider Directory

Locations

1936 Saranac Ave
Ste 108
Lake Placid, NY 12946

Practitioners & affiliated clinicians

Practitioners 2

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": "1456531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456531200000",
    "number": "1679933014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1936 SARANAC AVE",
            "address_2": "STE 108",
            "city": "LAKE PLACID",
            "state": "NY",
            "postal_code": "129461114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2241 SARANAC AVE",
            "address_2": "STE #4",
            "city": "LAKE PLACID",
            "state": "NY",
            "postal_code": "129461107",
            "telephone_number": "518-523-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLACID AUDIOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-27",
        "last_updated": "2016-02-27",
        "status": "A",
        "authorized_official_last_name": "WOLFF",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "AUDIOLOGIST/OWNER",
        "authorized_official_telephone_number": "518-891-1739",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "NY",
            "license": "001368-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Placid, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2016; 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.