Active NPI
Sarah Hall Ellis, AU.D.
- Audiologist
- Bronx, NY
National Provider Identifier
1932620465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 002715
- Practice address
- 1225 Morris Park Avenue
Van Etten Building
Bronx, NY 10461 - Phone
- (703) 577-5010
- NPI assigned
- Jul 6, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 002715 | NY | Primary |
Addresses
Primary practice location
1225 Morris Park Avenue
Van Etten Building
Bronx, NY 10461
Mailing address
319 E 92ND St Apt 1E
New York, NY 10128-5457
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002715 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kennedy Krieger Associates | Current | Accepting new patients | |
| Kennedy Krieger Associates | Current | Accepting new patients |
Locations
707 N Broadway
Baltimore, MD 21205
Phone (443) 923-1870
1741 Ashland Ave
Ste 642
Baltimore, MD 21205
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.
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- Pediatrics Physician
- Baltimore, MD
- NPI 1871515783
-
- Pediatrics Physician
- Middle River, MD
- NPI 1841009842
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1500508800000",
"number": "1932620465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "319 E 92ND ST APT 1E",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101285457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1225 MORRIS PARK AVENUE",
"address_2": "VAN ETTEN BUILDING",
"city": "BRONX",
"state": "NY",
"postal_code": "10461",
"telephone_number": "703-577-5010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIS",
"first_name": "SARAH",
"middle_name": "HALL",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-06",
"last_updated": "2017-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NY",
"license": "002715",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2017; 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.