Organization Active NPI

Audiology Services of Wny PLLC

  • Audiologist
  • Olean, NY
National Provider Identifier
1760199525
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
AUDIOLOGY SERVICES OF WNY PLLC
Practice address
610 Wayne St Ste 2
Olean, NY 14760-2355
Phone
(716) 790-8480
Fax
(716) 790-8052
NPI assigned
Nov 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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

Authorized official

Name
Chelsea FreemanNPI 1114415106
Title
Owner/Member
Phone
(716) 790-8480

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 Primary

Addresses

Primary practice location

610 Wayne St Ste 2
Olean, NY 14760-2355

Mailing address

610 Wayne St Ste 2
Olean, NY 14760-2355
Phone (716) 790-8480

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230112000157 NY Part B Supplier - Clinic/Group Practice 3678943404 Receives reassigned benefits from 2 practitioners
Practice locations: Olean, NY; Wellsville, NY

National Provider Directory

National Provider Directory

Locations

610 Wayne St
Ste 2
Olean, NY 14760
Phone (716) 790-8480

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": "1667260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673308800000",
    "number": "1760199525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 WAYNE ST STE 2",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147602355",
            "telephone_number": "716-790-8480",
            "fax_number": "716-790-8052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 WAYNE ST STE 2",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147602355",
            "telephone_number": "716-790-8480",
            "fax_number": "716-790-8052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUDIOLOGY SERVICES OF WNY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-01",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "CHELSEA",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "716-790-8480"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olean, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; 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.