Active NPI
Denise M Passerieux, AUD
- Audiologist
- Flushing, NY
National Provider Identifier
1760714067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 001511
- Practice address
- 5528 Main St
Flushing, NY 11355-5044 - Phone
- (718) 445-1312
- Fax
- (718) 939-9877
- NPI assigned
- Feb 11, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 001511 | NY | Primary |
| Assistive Technology Practitioner Audiologist | 231HA2400X | 001511 | NY | |
| Audiologist-Hearing Aid Fitter | 237600000X | 14000005586 | NY |
Addresses
Primary practice location
5528 Main St
Flushing, NY 11355-5044
Mailing address
5528 Main St
Flushing, NY 11355-5044
Phone (718) 445-1312
Other names 1
- Denise M Haight
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001511 | NY | MD | Behavioral Analyst |
| 14000005586 | NY | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ENT and Allergy Associates LLP | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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 and National Provider Directory roles.
-
- Otolaryngology Physician
- Tarrytown, NY
- NPI 1376598326
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329091200000",
"number": "1760714067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5528 MAIN ST",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113555044",
"telephone_number": "718-445-1312",
"fax_number": "718-939-9877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5528 MAIN ST",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113555044",
"telephone_number": "718-445-1312",
"fax_number": "718-939-9877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASSERIEUX",
"first_name": "DENISE",
"middle_name": "M",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-11",
"last_updated": "2012-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NY",
"license": "001511",
"primary": true
},
{
"code": "231HA2400X",
"taxonomy_group": "",
"desc": "Audiologist, Assistive Technology Practitioner",
"state": "NY",
"license": "001511",
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "NY",
"license": "14000005586",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DENISE",
"last_name": "HAIGHT",
"middle_name": "M",
"credential": "AUD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.