Individual provider Active NPI

Julie Glick, AU.D., F-AAA

  • Audiologist-Hearing Aid Fitter
  • New York, NY
National Provider Identifier
1902913148
Registry record updated Jun 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
002125 Issued in NY
Practice address
304 Park Ave S
Suite 1156
New York, NY 10010-4301
Phone
(917) 929-0268
NPI assigned
Aug 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 002125 NY Primary
Audiologist-Hearing Aid Fitter 237600000X 14000023874 NY

Addresses

Primary practice location

304 Park Ave S
Suite 1156
New York, NY 10010-4301

Mailing address

304 Park Ave S
Suite 1156
New York, NY 10010-4301
Phone (917) 929-0268

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
14000023874NYMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Sonus-USA, Inc. Audiologist-Hearing Aid Fitter Past Accepting new patients
Sensaphonics Past Accepting new patients
Sonus-USA, Inc. Audiologist-Hearing Aid Fitter Past Accepting new patients

Organizations & group practices 3

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": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370476800000",
    "number": "1902913148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 PARK AVE S",
            "address_2": "SUITE 1156",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100104301",
            "telephone_number": "917-929-0268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 PARK AVE S",
            "address_2": "SUITE 1156",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100104301",
            "telephone_number": "917-929-0268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLICK",
        "first_name": "JULIE",
        "name_prefix": "Dr.",
        "credential": "AU.D., F-AAA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2013-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NY",
            "license": "002125",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NY",
            "license": "14000023874",
            "primary": false
        }
    ],
    "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 Jun 6, 2013; 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.