Individual provider Active NPI

Dawn Marie Von Bargen-Weiner, MA

  • Audiologist
  • Rockville Centre, NY
National Provider Identifier
1922277805
Registry record updated Jun 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Practice address
556 Merrick Rd.
LL1
Rockville Centre, NY 11570
Phone
(516) 596-3277
Fax
(718) 648-4782
NPI assigned
Feb 26, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 000910 NY
Audiologist-Hearing Aid Fitter 237600000X 000910 NY
Audiologist 231H00000X Primary

Addresses

Primary practice location

556 Merrick Rd.
LL1
Rockville Centre, NY 11570

Mailing address

8800 SE Sunnyside Rd.
Ste. 300-N
Clackamas, OR 97015-5738
Phone (503) 659-5115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080227000609 NY Practitioner - Qualified Audiologist 7618051764 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
51 Sandalwood Enterprises IncGroup PAC ID 1850205311, 3 clinicians

Practice addresses (Care Compare)

475 E Main St
Suite 112
Patchogue, NY 11772-3121
Phone (631) 758-3709

818 E Main St
Riverhead, NY 11901-2563
Phone (631) 369-2808

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
51 Sandalwood Enterprises, Inc CurrentSince Sep 17, 2013 Accepting new patients
51 Sandalwood Enterprises Inc Audiologist-Hearing Aid Fitter CurrentSince Sep 17, 2013 Accepting new patients
Enhanced Hearing Services, LLC Past Accepting new patients
Sound Foot Care PC Past Accepting new patients
Northland Hearing Centers, Inc. Audiologist-Hearing Aid Fitter Past Accepting new patients
Dev R Chitkara M.D. P.C. Past Accepting new patients

Locations

23 S Howell Ave
Ste M
Centereach, NY 11720
Phone (631) 284-2299

475 E Main St
Patchogue, NY 11772
Phone (631) 363-2001

475 E Main St
Ste 112
Patchogue, NY 11772
Phone (631) 758-3709

818 E Main St
Riverhead, NY 11901
Phone (631) 284-2299

Organizations & group practices 6

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": "1203984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339459200000",
    "number": "1922277805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8800 SE SUNNYSIDE RD.",
            "address_2": "STE. 300-N",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970155738",
            "telephone_number": "503-659-5115",
            "fax_number": "718-648-4782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "556 MERRICK RD.",
            "address_2": "LL1",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "11570",
            "telephone_number": "516-596-3277",
            "fax_number": "718-648-4782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VON BARGEN-WEINER",
        "first_name": "DAWN",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-26",
        "last_updated": "2012-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "000910",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NY",
            "license": "000910",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville Centre, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.