Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Michelle Waller, MACCC-A

Individual provider Audiologist · NPI 1629169800

Mrs. Michelle Waller, MACCC-A is a Qualified Audiologist in Bayshore, New York. Qualified in 2009, 17 years ago. Practices with ENT and Allergy Associates LLP, a 432-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
17
Licensed in
NY
In the registry since
2006

Practice location Address checks out

375 E Main St Ste 17
Bayshore, NY 11706
Phone: (631) 665-6922
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Audiologist (primary) Taxonomy 231H00000X · Licence 002098-1 (NY)

Record details

NPI number1629169800
Entity typeIndividual (Type 1)
GenderFemale
Credentials MACCC-A
Sole proprietorNo
NPI enumeratedSeptember 27, 2006
Last updated in NPPESAugust 20, 2008
Mailing address251 Lyman Rd, East Patchogue, NY 11772-6249

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED AUDIOLOGIST
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Ent And Allergy Associates Llp — 432 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount