Active NPI
Audrey Hsin
- Endodontics
- New York, NY
National Provider Identifier
1902212764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 058535
- Practice address
- 111 Broadway
Suite 803
New York, NY 10006-1901 - Phone
- (347) 641-3984
- NPI assigned
- Jul 1, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | DN20716 | FL | |
| Endodontics | 1223E0200X | 058535 | NY | Primary |
Addresses
Primary practice location
111 Broadway
Suite 803
New York, NY 10006-1901
Mailing address
1 Astor PL
Apt 11C
New York, NY 10003-6930
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN20716 | FL | MD | Endodontist |
| 058535 | NY | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Citra Endodontics PLLC | Current | 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.
-
- Dental Clinic/Center
- Rosenberg, TX
- NPI 1124633284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494201600000",
"number": "1902212764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 ASTOR PL",
"address_2": "APT 11C",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100036930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 BROADWAY",
"address_2": "SUITE 803",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100061901",
"telephone_number": "347-641-3984"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HSIN",
"first_name": "AUDREY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-01",
"last_updated": "2017-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "FL",
"license": "DN20716",
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "NY",
"license": "058535",
"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 May 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.