Active NPI
Amy Rena Fistel
- Audiologist
- Newton, MA
National Provider Identifier
1952315269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 72
- Practice address
- 25 Needham St
Newton, MA 02461-1615 - Phone
- (617) 964-6681
- Fax
- (617) 630-0141
- NPI assigned
- Jul 29, 2006
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | 72 | MA | Primary |
| Audiologist | 231H00000X | AUD00112 | RI |
Addresses
Primary practice location
25 Needham St
Newton, MA 02461-1615
Mailing address
25 Needham St
Newton, MA 02461-1615
Phone (617) 964-6681
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AD0149 | Other | MA | BLUE CROSS BLUE SHIELD |
| 5102154 | Medicaid | MA | |
| 29016-4/411655 | Other | RI | BLUE CROSS BLUE SHIELD |
Other names 1
- Amy Rena Lopyan
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
| License | State | Type | Specialty |
|---|---|---|---|
| 72 | MA | MD | Addiction (Substance Use Disorder) Counselor |
| AUD00112 | RI | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1952315269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 NEEDHAM ST",
"city": "NEWTON",
"state": "MA",
"postal_code": "024611615",
"telephone_number": "617-964-6681",
"fax_number": "617-630-0141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 NEEDHAM ST",
"city": "NEWTON",
"state": "MA",
"postal_code": "024611615",
"telephone_number": "617-964-6681",
"fax_number": "617-630-0141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISTEL",
"first_name": "AMY",
"middle_name": "RENA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MA",
"license": "72",
"primary": true
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "RI",
"license": "AUD00112",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "AD0149",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5102154",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "29016-4/411655",
"state": "RI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "AMY",
"last_name": "LOPYAN",
"middle_name": "RENA",
"credential": "CCC-A",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Newton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.