Susan S. Debruyne, AU.D

Primary specialty

AudiologistTaxonomy code 231H00000X

License

1451 Issued in NY

Practice address

3513 Thomas Dr Ste 2
Lakeville, NY 14480-9759

Phone

(585) 243-7690

Fax

(585) 346-7582

NPI assigned

Aug 15, 2005

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Southside Hearing Center, LLC

  • Audiologist
  • Lakeville, NY
  • NPI 1043304157
  Medicare reassignment NPD
• Audiologic Solutions Inc

  • Hearing Aid Equipment
  • Rensselaer, NY
  • NPI 1609067214

  Hearing Aid Equipment

  NPD (past)
• Erie Station Optical, Inc.

  • Eyewear Supplier
  • Henrietta, NY
  • NPI 1144509381
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1023010550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3513 THOMAS DR STE 2",
            "city": "LAKEVILLE",
            "state": "NY",
            "postal_code": "144809759",
            "telephone_number": "585-243-7690",
            "fax_number": "585-346-7582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3513 THOMAS DR STE 2",
            "city": "LAKEVILLE",
            "state": "NY",
            "postal_code": "144809759",
            "telephone_number": "585-243-7690",
            "fax_number": "585-346-7582"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 Finn Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Henrietta",
            "state": "NY",
            "postal_code": "144679388",
            "country_code": "US",
            "telephone_number": "585-359-4987",
            "fax_number": "585-487-6027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEBRUYNE",
        "first_name": "SUSAN",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "AU.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-15",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "NY",
            "license": "14000010429",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "1451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP HEALTHCARE",
            "identifier": "7700242",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCELLUS BCBS",
            "identifier": "82564",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7882382",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "640004655",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Paul Belbas, D.D.S.
• Jennifer Bock
• Aaron Charles Borden, PT
• Caitlin Simpson Chiropractic PLLC
• Robin Crist, PT
• Drew T Emerson, M.D.
• Family Dental Care of Livonia PC
• Finger Lakes Podiatry, PC
• Charmagne M Flanigan, DC
• Brenda Flores Sousa, DDS

• Audiologist in Lakeville, NY
• Providers in Lakeville, NY by specialty
• Audiologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.