Individual provider Active NPI

Ashley Lynn Broska, AU.D

  • Audiologist
  • Rochester, NY
National Provider Identifier
1821397274
Registry record updated Jun 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
0023271 Issued in NY
Practice address
1100 Long Pond Rd
Suite 110
Rochester, NY 14626-1154
Phone
(585) 225-1100
Fax
(585) 225-1112
NPI assigned
Mar 24, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 0023271 NY Primary

Addresses

Primary practice location

1100 Long Pond Rd
Suite 110
Rochester, NY 14626-1154

Mailing address

1100 Long Pond Rd
Suite 110
Rochester, NY 14626-1154
Phone (585) 225-1100

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
002327NYMDBehavioral Analyst
0023271NYMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Hearing Centers Audiologist PastSince Dec 31, 2013 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": "1300924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338854400000",
    "number": "1821397274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 LONG POND RD",
            "address_2": "SUITE 110",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146261154",
            "telephone_number": "585-225-1100",
            "fax_number": "585-225-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 LONG POND RD",
            "address_2": "SUITE 110",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146261154",
            "telephone_number": "585-225-1100",
            "fax_number": "585-225-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROSKA",
        "first_name": "ASHLEY",
        "middle_name": "LYNN",
        "name_prefix": "Miss",
        "credential": "AU.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-24",
        "last_updated": "2012-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "0023271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.

Verify at the official NPI Registry.