Elise Hailey Witz, MASTERS OF ARTS

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

002519 Issued in NY

Practice address

413 Fort Salonga Rd
2ND Floor
Northport, NY 11768-3088

Phone

(631) 261-4327

NPI assigned

Jul 8, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537920000000",
    "number": "1750544953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 FORT SALONGA RD",
            "address_2": "2ND FLOOR",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117683088",
            "telephone_number": "631-261-4327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 FORT SALONGA RD",
            "address_2": "2ND FLOOR",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117683088",
            "telephone_number": "631-261-4327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITZ",
        "first_name": "ELISE",
        "middle_name": "HAILEY",
        "name_prefix": "Mrs.",
        "credential": "MASTERS OF ARTS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-08",
        "last_updated": "2018-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "57002519",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NY",
            "license": "002519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather A Williams, PHYSICAL THERAPIST
• Mark Williams, MD
• Mathew Colin Williams, PH.D.
• Amy G Willie, RN
• Christopher Jesse Wilson, RN
• Karen Yuan Wong, OD
• Su-Lan Wong, NP
• Douglas Brian Wright, DC
• Judy Y Wu, MD
• Lina Wu

• Audiologist-Hearing Aid Fitter in Northport, NY
• Providers in Northport, NY by specialty
• Audiologist-Hearing Aid Fitter in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.