Active NPI
Kimberly Ramdeholl
- Hearing Instrument Specialist
- Floral Park, NY
National Provider Identifier
1780208504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 14000033375
- Practice address
- 26910 Grand Central Pkwy
Floral Park, NY 11005-1045 - Phone
- (516) 484-0811
- NPI assigned
- Jun 8, 2020
- Last updated
- Oct 4, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 14000033375 | NY | Primary |
Addresses
Primary practice location
26910 Grand Central Pkwy
Floral Park, NY 11005-1045
Mailing address
26910 Grand Central Pkwy Apt A5
Floral Park, NY 11005-1034
Phone (817) 352-0548
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14000033375 | NY | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Hearing LTD | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633305600000",
"number": "1780208504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26910 GRAND CENTRAL PKWY APT A5",
"city": "FLORAL PARK",
"state": "NY",
"postal_code": "110051034",
"telephone_number": "817-352-0548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26910 GRAND CENTRAL PKWY",
"city": "FLORAL PARK",
"state": "NY",
"postal_code": "110051045",
"telephone_number": "516-484-0811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAMDEHOLL",
"first_name": "KIMBERLY",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-08",
"last_updated": "2021-10-04",
"certification_date": "2021-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "NY",
"license": "14000033375",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Floral Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.