Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 231H00000X | Audiologist | | 000867-1 | NEW YORK | Yes |
| 2 | 237600000X | Audiologist-Hearing Aid Fitter | | 14000004648 | NEW YORK | X |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 161820 | OTHER | NEW YORK | ELDERPLAN |
| 2 | M0367-1 | MEDICARE ID-TYPE UNSPECIFIED | NEW YORK | |
| 3 | 00000516715 | OTHER | NEW YORK | UNITED HEALTHCARE |
| 4 | 1900917 003 | OTHER | NEW YORK | CIGNA MEDICARE |
| 5 | 37077 | OTHER | NEW YORK | GHI HMO |
| 6 | KS208 | OTHER | NEW YORK | OXFORD |
| 7 | 1900917 004 | OTHER | NEW YORK | CIGNA |
| 8 | 5691413 | OTHER | NEW YORK | AETNA |
| 9 | 100051671501 | OTHER | NEW YORK | UNITEDHEALTHCARE MEDICAID |
| 10 | 137028 | OTHER | NEW YORK | WELLCARE |
| 11 | 4899773 | OTHER | NEW YORK | GHI |
| 12 | 147447 | OTHER | NEW YORK | PREFERRED CARE |
| 13 | BK00467 01 | OTHER | NEW YORK | AMERICHOICE |
| 14 | P-54027105 | OTHER | NEW YORK | MULTI-PLAN |
| 15 | 3C1705 | OTHER | NEW YORK | HEALTH NET |
| 16 | 730000867NY01 | OTHER | NEW YORK | ANTHEM HEALTH |
| 17 | M0367-1 | OTHER | NEW YORK | BLUE CROSS BLUE SHIELD |
| 18 | ML0867 | OTHER | NEW YORK | ATLANTIS HEALTH PLAN |
