Individual provider Active NPI

Keidy G Sanchez, AU.D, CCC-A

  • Audiologist-Hearing Aid Fitter
  • Jackson Heights, NY
National Provider Identifier
1790137149
Registry record updated Jun 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
002650-1 Issued in NY
Practice address
37-31 77TH Street
First Floor
Jackson Heights, NY 11372-6629
Phone
(718) 424-0061
Fax
(718) 424-0045
NPI assigned
Jul 11, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 002650-1 NY Primary

Addresses

Primary practice location

37-31 77TH Street
First Floor
Jackson Heights, NY 11372-6629

Mailing address

660 White Plains Road- Enta
Fourth Floor
Tarrytown, NY 10591-6802
Phone (914) 984-2552

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

LicenseStateTypeSpecialty
002650NYMDArt Therapist
002650-1NYMDAudiologist-Hearing Aid Fitter

NPI Registry JSON

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

{
    "created_epoch": "1468195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1790137149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 WHITE PLAINS ROAD- ENTA",
            "address_2": "FOURTH FLOOR",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105916802",
            "telephone_number": "914-984-2552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37-31 77TH STREET",
            "address_2": "FIRST FLOOR",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113726629",
            "telephone_number": "718-424-0061",
            "fax_number": "718-424-0045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "KEIDY",
        "middle_name": "G",
        "name_prefix": "Mrs.",
        "credential": "AU.D, CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-11",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NY",
            "license": "002650-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; 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.