Individual provider Active NPI

Allison Radzik Baranowski, MA,CCC-A

  • Audiologist
  • Oakland Park, FL
National Provider Identifier
1780612366
Registry record updated Mar 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1608-1 Issued in NY
Practice address
1005A E Commercial Blvd
Oakland Park, FL 33334-3956
Phone
(954) 493-6411
Fax
(954) 493-9078
NPI assigned
Jun 30, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 3

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.

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
AY1369FLMDAudiologist
1608-1NYMDAudiologist

Practice roles (3 of 5)

OrganizationSpecialtyStatusNew patients
Hearusa Inc Past Accepting new patients
Hearusa Inc PastSince Jun 28, 2017 Accepting new patients
Hearusa Inc Audiologist Past Accepting new patients

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 1608-1 NY Primary
Audiologist 231H00000X AY1369 FL

Addresses

NPPES NPI Registry

Primary practice location

1005A E Commercial Blvd
Oakland Park, FL 33334-3956

Mailing address

PO Box 406153
Atlanta, GA 30384-1876
Phone (561) 478-8770

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
600490300MedicaidFL
4899737OtherFLGHI

Other names 1

NPPES NPI Registry
  • Miss Allison Radzik Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 12, 2009.

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236816000000",
    "number": "1780612366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 406153",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303841876",
            "telephone_number": "561-478-8770",
            "fax_number": "561-688-8877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005A E COMMERCIAL BLVD",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333343956",
            "telephone_number": "954-493-6411",
            "fax_number": "954-493-9078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARANOWSKI",
        "first_name": "ALLISON",
        "middle_name": "RADZIK",
        "name_prefix": "Mrs.",
        "credential": "MA,CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2009-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "1608-1",
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY1369",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600490300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "4899737",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALLISON",
            "last_name": "RADZIK",
            "prefix": "MISS",
            "credential": "MA,CCC-A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oakland Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2009; 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.