Susan Boggia, AU.D.

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

Practice address

318 Ridge St
Glens Falls, NY 12801-1506

Phone

(518) 798-4800

Fax

(518) 798-4900

NPI assigned

Feb 6, 2007

Last updated

Dec 27, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• Susan Bucalo Former name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cara Bedore Audiology, PC

  dba Center for Better Hearing

  • Audiologist-Hearing Aid Fitter
  • Glens Falls, NY
  • NPI 1316501554
  Medicare reassignment NPD
• Susan Boggia Audiology, PC

  • Audiologist
  • Glens Falls, NY
  • NPI 1003956053
  Authorized official Same address or phone

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293408000000",
    "number": "1891834750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 RIDGE ST",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128011506",
            "telephone_number": "518-798-4800",
            "fax_number": "518-798-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 RIDGE ST",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128011506",
            "telephone_number": "518-798-4800",
            "fax_number": "518-798-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGGIA",
        "first_name": "SUSAN",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2010-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "192",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS",
            "identifier": "080318000032",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS BLUE SHIELD",
            "identifier": "M77121",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF NENY",
            "identifier": "00413681001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "1613948",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "BUCALO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Corrie L Blair, CASAC-T
• Michelle Blesso, PHARMD
• Alexander Robert Blumberg, DPT
• Amy E Bly, FNP
• Devon E Bock, MD
• Susan Bogosian, RN
• Rebekah Booth
• Joseph Spencer Bordelon, M.D.
• William M Borgos, MD
• Donna Jean Boss, PA

• Audiologist-Hearing Aid Fitter in Glens Falls, NY
• Providers in Glens Falls, 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 Dec 27, 2010; 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.