RIVERDALE AUDIOLOGY PLLC (NPI# 1346681053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346681053 |
| Entity Type | Organization |
| Organization Name | RIVERDALE AUDIOLOGY PLLC |
| Practice Address |
3050 Corlear Ave Suite 202 Bronx NY 10463-5180 |
| Practice Telephone | 7185434333 |
| Practice Fax Number | 7185434334 |
| Mailing Telephone | 7185434333 |
| Mailing Fax Number | 7185434334 |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2013-07-10 |
| Authorized Official Name | DR. FLORA INGALLS HOLDERBAUM (AUDIOLOGIST) |
| Authorized Official Telephone | 7185434333 |
| Authorized Official Credential | AU.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 0007321 | NY | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02474537 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | RIVERDALE AUDIOLOGY PLLC | 3050 Corlear Ave., Suite 202, Bronx, Ny 10463 |
| Street Address |
3050 CORLEAR AVE SUITE 202 |
| City | BRONX |
| State | NY |
| Zip Code | 10463-5180 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699752261 | Kung-ming Jan | Internal Medicine | 3050 Corlear Ave, Suite 204, Bronx, NY 10463-5180 | 2005-12-27 |
| 1659815298 | Comprehensive Behavior Care Medical Solutions PC | Psychiatry & Neurology | 3050 Corlear Ave, Bronx, NY 10463-5180 | 2016-12-16 |
| 1760868012 | Michelle Zevallos-ramos | Nurse Practitioner | 3050 Corlear Ave, Suite 201, Bronx, NY 10463-5180 | 2015-08-09 |
| 1043693039 | Kimberly Dy | Registered Nurse | 3050 Corlear Ave, Suite 201, Bronx, NY 10463-5180 | 2015-07-08 |
| 1447632534 | Irene Lopez-zilberman | Home Health | 3050 Corlear Ave, Apt 308, Bronx, NY 10463-5180 | 2015-06-24 |
| 1871981829 | Kerri Marie Mclean | Physical Therapist | 3050 Corlear Ave, Bronx, NY 10463-5180 | 2014-12-29 |
| 1740695154 | Imperial Pharmacy Inc. | Pharmacy | 3050 Corlear Ave, Bronx, NY 10463-5180 | 2014-06-24 |
| 1588009559 | Maria Lourdes R Flores | Family Medicine | 3050 Corlear Ave, Suite 201, Bronx, NY 10463-5180 | 2013-05-06 |
| 1972843449 | Sycamore Physical Therapy Pllc | Physical Therapist | 3050 Corlear Ave, Suite 102a, Bronx, NY 10463-5180 | 2013-02-21 |
| 1851684054 | Jennifer Caceres | Internal Medicine | 3050 Corlear Ave, Bronx, NY 10463-5180 | 2011-05-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891313466 | Nikki Krizia Oral | Physical Therapist | 3424 Kingsbridge Avenue, Bronx, 7h, New York, NY 10463 | 2020-07-10 |
| 1932726528 | Beena Dacosta | Nurse Practitioner | 3725 Blackstone Avenue, Apt 7e, Bronx, NY 10463 | 2020-06-29 |
| 1578102612 | Fanta Nawada | Licensed Practical Nurse | 2899 Kingsbrige Terrace, Bronx, NY 10463 | 2020-01-06 |
| 1740821016 | James Albert Curtis | Technician | 3475 Greystone Ave. Apt 2h, Bx, NY 10463 | 2019-10-08 |
| 1598328890 | Chad Feay | Health Educator | 75 W. 238th Street Apt 7e, Bronx, NY 10463 | 2019-04-22 |
| 1174093488 | Bobby E Felicie | Counselor | 3205 Oxford Ave, 10, Bronx, NY 10463 | 2018-11-29 |
| 1083114375 | Riverdale Ophthalmology Pllc | Ophthalmology | 3220 Fairfield Ave Ofc 1, Bronx, NY 10463 | 2018-02-13 |
| 1942713342 | Iql, LLC | Health Educator | 3207 Oxford Avenue, Apt 11, Bronx, NY 10463 | 2017-11-08 |
| 1275045312 | Miziel Remolona | Nurse Practitioner | 3486 Fort Independence St, Ph, Bronx, NY 10463 | 2017-10-30 |
| 1699284117 | Nidhi Vijay Mehta | Physical Therapist | 280 W, 231st St, Bronx, Newyork City, NY 10463 | 2017-09-27 |
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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 |
|---|---|---|---|---|
| 1801429188 | Rachael Kennedy | Audiologist | 1200 Waters Pl Ste 1101, Bronx, NY 10461-2728 | 2020-02-14 |
| 1033770185 | Caitlin Alverson Parys | Audiologist | 1650 Grand Concourse Fl 6, Bronx, NY 10457-7606 | 2019-06-27 |
| 1205308004 | Feben Kurban | Audiologist | 625 East Fordham Road, Bronx, NY 10458 | 2018-12-19 |
| 1861968695 | Rhonda Steinmetz | Audiologist | 1400 Pelham Pkwy S Rm 5n1, Bronx, NY 10461-1119 | 2018-10-19 |
| 1528422953 | Amanda Diamond | Audiologist | 2143 Williamsbridge Rd Apt A, Bronx, NY 10461-1639 | 2016-04-12 |
| 1922377217 | Nancy Eve Jacobs | Audiologist | 3450 E Tremont Ave, Room 227, Bronx, NY 10465-2020 | 2011-12-15 |
| 1487921508 | Jenifer Robert | Audiologist | 260 E 188th St # At, Bronx, NY 10458-5302 | 2011-11-17 |
| 1073828877 | Nikol Leitner | Audiologist | 3400 Bainbridge Ave. Map 3rd Floor, Montefiore Medical Center, Dept of Otorhinolaryngology, Bronx, NY 10467 | 2010-08-17 |
| 1801027198 | Peter Adamson | Audiologist | 3400 Bainbridge Ave Fl 3, Dept. of Otorhinolaryngology, Bronx, NY 10467-2404 | 2009-08-04 |
| 1699945600 | Magdalena Sarria | Audiologist | 456 E Fordham Rd, Bronx, NY 10458-5108 | 2008-03-05 |
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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.