55 Sandalwood Enterprises Inc

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

Legal business name

55 SANDALWOOD ENTERPRISES INC

Doing business as

The Hearing Center

Practice address

3400 Bainbridge Ave
3Rd Floor
Bronx, NY 10467

Phone

(718) 920-4333

Fax

(718) 547-2907

NPI assigned

Jun 20, 2007

Last updated

Sep 13, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David G Carr

Title

Owner

Phone

(631) 284-2299

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• The Hearing Center Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Tax ID family

55 Sandalwood Enterprises Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• 55 Sandalwood Enterprises Inc

  dba The Hearing Center

  • Specialist
  • Bronx, NY
  • NPI 1083691539
  NPD tax ID

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary Katherine Bohr, M.S. CCC-A

  • Audiologist
  • Riverhead, NY
  • NPI 1871688556
  Medicare reassignment NPD
• Elizabeth Ambroselli

  • Hearing Instrument Specialist
  • Yonkers, NY
  • NPI 1669717054
  NPD (past)
• Frank Panzarella, OD

  • Optician
  • Lindenhurst, NY
  • NPI 1942821749
  NPD (past)
• Marisol Rodriguez

  • Optician
  • Lindenhurst, NY
  • NPI 1245164201
  NPD (past)
• Geraldine Sweeney, O.D.

  • Optometrist
  • Lindenhurst, NY
  • NPI 1699014878
  NPD (past)
• Jennifer A. Pound, M.A.

  • Audiologist
  • Pembroke Pines, FL
  • NPI 1427187244
  NPD (past)

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379030400000",
    "number": "1871798710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 E MAIN ST",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012563",
            "telephone_number": "631-284-2299",
            "fax_number": "631-284-2305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 BAINBRIDGE AVE",
            "address_2": "3RD FLOOR",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10467",
            "telephone_number": "718-920-4333",
            "fax_number": "718-547-2907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "55 SANDALWOOD ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2013-09-13",
        "status": "A",
        "authorized_official_last_name": "CARR",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-284-2299"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2527580",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "M8W601",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Hearing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Audiologist-Hearing Aid Fitter in Bronx, NY
• Providers in Bronx, NY by specialty
• Audiologist-Hearing Aid Fitter in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.