Individual provider Active NPI

Jane M Waligora, AU.D.

  • Audiologist
  • East Syracuse, NY
National Provider Identifier
1790776185
Registry record updated Nov 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
000093-1 Issued in NY
Practice address
6700 Kirkville Rd
Suite 107
East Syracuse, NY 13057-9305
Phone
(315) 463-1724
Fax
(315) 463-4020
NPI assigned
Nov 3, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 000093-1 NY Primary

Addresses

Primary practice location

6700 Kirkville Rd
Suite 107
East Syracuse, NY 13057-9305

Mailing address

PO Box 507
Herkimer, NY 13350-0507
Phone (315) 463-1724

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
000093-1NYMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Genesee Valley Group Health Association 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193961600000",
    "number": "1790776185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 507",
            "city": "HERKIMER",
            "state": "NY",
            "postal_code": "133500507",
            "telephone_number": "315-463-1724",
            "fax_number": "315-463-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 KIRKVILLE RD",
            "address_2": "SUITE 107",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130579305",
            "telephone_number": "315-463-1724",
            "fax_number": "315-463-4020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALIGORA",
        "first_name": "JANE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-03",
        "last_updated": "2007-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "000093-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; 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.