IDA WISE (NPI# 1588812309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588812309 |
| Entity Type | Individual |
| Full Name | IDA WISE |
| Credential | AU.D. |
| Practice Address |
95 Bradhurst Ave Valhalla NY 10595-1637 |
| Mailing Address |
39 Tamarack Dr Cortlandt Manor NY 10567-6722 |
| Practice Telephone | 9145927138 |
| Mailing Telephone | 9147372491 |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2008-09-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 824-1 | NY | Speech, Language and Hearing Service Providers |
| N | 231HA2400X |
Audiologist Specialization: Assistive Technology Practitioner |
824-1 | NY | Speech, Language and Hearing Service Providers |
| N | 231HA2500X |
Audiologist Specialization: Assistive Technology Supplier |
824-1 | NY | Speech, Language and Hearing Service Providers |
| N | 237600000X | Audiologist-Hearing Aid Fitter | 14000011914 | NY | Speech, Language and Hearing Service Providers |
| Street Address |
95 BRADHURST AVE |
| City | VALHALLA |
| State | NY |
| Zip Code | 10595-1637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033119953 | Tracy Lawrence-black | Pediatrics | 95 Bradhurst Ave, Valhalla, NY 10595-1637 | 2005-07-22 |
| 1588263370 | Bianca Nicky Pardovany | Speech-Language Pathologist | 95 Bradhurst Ave, Valhalla, NY 10595-1697 | 2020-10-22 |
| 1508487323 | Shannon O'brien | Speech-Language Pathologist | 95 Bradhurst Ave, Valhalla, NY 10595-1697 | 2020-05-04 |
| 1922656792 | Kali Mcnamara | Speech-Language Pathologist | 95 Bradhurst Ave, Valhalla, NY 10595-1697 | 2019-08-26 |
| 1629511530 | Danielle Kinsella | Physical Therapist | 95 Bradhurst Ave, Valhalla, NY 10595-1637 | 2016-11-25 |
| 1558813675 | Kathryn Nath | Nurse Practitioner | 95 Bradhurst Ave, Valhalla, NY 10595-1637 | 2016-10-25 |
| 1184175713 | Blythedale Children's Hospital | Pharmacy | 95 Bradhurst Ave, Pharmacy Department, Valhalla, NY 10595-1637 | 2016-10-19 |
| 1700239043 | Kate Wolosky | Specialist | 95 Bradhurst Ave, Valhalla, NY 10595-1637 | 2016-07-21 |
| 1326419045 | Sarah E Petrie | Occupational Therapist | 95 Bradhurst Ave, Valhalla, NY 10595-1637 | 2015-10-08 |
| 1275910135 | Jennifer Chalsen | Speech-Language Pathologist | 95 Bradhurst Ave, Valhalla, NY 10595-1637 | 2015-04-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871126946 | Evan Alexander Formosa | Student in an Organized Health Care Education/Training Program | 40 Sunshine Cottege Road, New York Medical College Student Affairs Suite 122a, Valhalla, NY 10595 | 2020-02-18 |
| 1124673223 | Mozibur Rahman | Student in an Organized Health Care Education/Training Program | C/o Pathology, 100 Woods Rd, Valhalla, NY 10595 | 2019-08-06 |
| 1235650243 | Ana Karla F Arias | Psychologist | 503 Grasslands Roas, Suite 101, Valhalla, NY 10595 | 2017-06-29 |
| 1336682327 | Adriana Josandy Arias | Case Manager/Care Coordinator | 503 Grasslands Rd, Suite 101, Valhalla, NY 10595 | 2016-11-23 |
| 1740632934 | Philippe Hoffmann | Counselor | 1700 Old Orchard, Valhalla, NY 10595 | 2016-07-12 |
| 1396195020 | Elizabeth Hendricks | Social Worker | 1700 Old Orchard St, Valhalla, NY 10595 | 2016-06-14 |
| 1427437771 | Stephany Rodriguez | Case Manager/Care Coordinator | 503 Grasslands Road, Suite 101, Valhala, NY 10595 | 2015-05-20 |
| 1437536182 | Shajiuddin Faraz Mohammed | Psychiatry & Neurology | 100 Woods Road Behavioral Health Center Suite-n314, Westchester Medical Center, Department of Psychiatry, Valhalla, NY 10595 | 2015-05-01 |
| 1841685013 | Barbara Constantine | Physical Therapist | 70 Colubus Ave., Valhalla, NY 10595 | 2015-04-03 |
| 1316330418 | Victor Tseng | Anesthesiology | 100 Woods Rd Rm D-228, Valhalla, NY 10595 | 2015-03-12 |
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| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447383633 | Kristi D'auria | Audiologist | 435 Cedarwood Hall, Valhalla, NY 10595 | 2007-03-14 |
| 1447381942 | Jenny Ann Rajan | Audiologist | 322 Cedarwood Hall, Valhalla, NY 10595 | 2007-03-08 |
| 1063933141 | Samantha Irene Morgan | Audiologist | 20 Hospital Oval West, 435 Cedarwood Hall, Valhalla, NY 10595-1571 | 2017-06-29 |
| 1740665934 | Evan Hirschhorn | Audiologist | 20 Hospital Oval West, Speech and Hearing Center Room 430, Valhalla, NY 10595 | 2015-07-29 |
| 1730393851 | Regina Rafter Albinus | Audiologist | 20 Plaza West, Valhalla, NY 10595 | 2007-05-09 |
| 1275679409 | Maureen O. Mcgee | Audiologist | 20 Plaza West, Valhalla, NY 10595 | 2007-01-29 |
| 1487709382 | Mindy Schmelzer | Audiologist | 20 Hospital Oval West, Cedarwood Hall-speech and Hearing, Valhalla, NY 10595 | 2007-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790765 | Vasilia Kalliopi Meskouris | Audiologist | 1019 Olympia Rd Fl 1, North Bellmore, NY 11710-1938 | 2020-11-06 |
| 1104427541 | Rachel Lynn Miller | Audiologist | 11 Montana Pl, Brooklyn, NY 11234-6912 | 2020-11-03 |
| 1255931309 | Ariel Monserrate | Audiologist | 445 Lenox Rd Ste J, Brooklyn, NY 11203-2017 | 2020-10-28 |
| 1770181398 | Nicole Ashley Delledonne | Audiologist | 17 Harness Ln, Levittown, NY 11756-1018 | 2020-10-15 |
| 1225644248 | Danilova Rufina Yakubov Audiology Hearing Professional Corporation | Audiologist | 156 William St Frnt 1, New York, NY 10038-2609 | 2020-09-16 |
| 1518571058 | Piera P D'armetta | Audiologist | 3601 Hempstead Tpke Ste 201, Levittown, NY 11756-1331 | 2020-09-02 |
| 1114530961 | Lambert Lee | Audiologist | 139 Centre St Ste 803, New York, NY 10013-4558 | 2020-08-30 |
| 1174136188 | Alexa Brody | Audiologist | 220 72nd St Apt A4, Brooklyn, NY 11209-2140 | 2020-08-28 |
| 1285246900 | Lindsay J Saltsman | Audiologist | 395 West St., Suite 301, Canandaigua, NY 14424-1789 | 2020-08-24 |
| 1982215240 | Sandra Josephine Mayer | Audiologist | 10 Mckown Rd Ste 200, Albany, NY 12203-3496 | 2020-08-11 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.