Active NPI
Deena Palumbo, MA, CCC-A
- Audiologist-Hearing Aid Fitter
- Centereach, NY
National Provider Identifier
1962602581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- 001767-1
- Practice address
- 41 Fiesta Dr
Centereach, NY 11720-1502 - Phone
- (631) 846-8421
- Fax
- (631) 846-4821
- NPI assigned
- Jul 21, 2007
- Sex
- Female
- Sole proprietor
- Yes
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-Hearing Aid Fitter | 237600000X | 001767-1 | NY | Primary |
Addresses
Primary practice location
41 Fiesta Dr
Centereach, NY 11720-1502
Mailing address
41 Fiesta Dr
Centereach, NY 11720-1502
Phone (631) 732-1484
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001767-1 | NY | MD | Audiologist-Hearing Aid Fitter |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184976000000",
"number": "1962602581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 FIESTA DR",
"city": "CENTEREACH",
"state": "NY",
"postal_code": "117201502",
"telephone_number": "631-732-1484",
"fax_number": "631-846-4821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41 FIESTA DR",
"city": "CENTEREACH",
"state": "NY",
"postal_code": "117201502",
"telephone_number": "631-846-8421",
"fax_number": "631-846-4821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALUMBO",
"first_name": "DEENA",
"name_prefix": "Mrs.",
"credential": "MA, CCC-A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-21",
"last_updated": "2007-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "NY",
"license": "001767-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Centereach, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.