Active NPI
Susan Wortsman, MA-CCC
- Audiologist
- New York, NY
National Provider Identifier
1841293990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 000396-1
- Practice address
- 425 E 25TH St
New York, NY 10010-2547 - Phone
- (212) 481-4464
- NPI assigned
- May 23, 2005
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | 000396-1 | NY | Primary |
Addresses
Primary practice location
425 E 25TH St
New York, NY 10010-2547
Mailing address
68 Rockledge Rd
Apt 1C
Hartsdale, NY 10530-3455
Phone (212) 481-4464
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
| License | State | Type | Specialty |
|---|---|---|---|
| 000396-1 | NY | MD | Art Therapist |
| 000396 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1841293990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "68 ROCKLEDGE RD",
"address_2": "APT 1C",
"city": "HARTSDALE",
"state": "NY",
"postal_code": "105303455",
"telephone_number": "212-481-4464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 E 25TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100102547",
"telephone_number": "212-481-4464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WORTSMAN",
"first_name": "SUSAN",
"credential": "MA-CCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-05-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NY",
"license": "000396-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.