Active NPI
Preferred Audiology Care, LLC
- Hearing and Speech Clinic/Center
- Camillus, NY
National Provider Identifier
1033449558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing and Speech Clinic/Center
- License
- 002209
- Legal business name
- PREFERRED AUDIOLOGY CARE, LLC
- Practice address
- 5639 W Genesee St
Camillus, NY 13031-1250 - Phone
- (315) 468-2985
- Fax
- (315) 468-6892
- NPI assigned
- Jan 5, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nicole Marie Anzalone, AU.D.
- Title
- Audiologist/President
- Phone
- (315) 692-4692
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing and Speech Clinic/Center | 261QH0700X | 002209 | NY | Primary |
Addresses
Primary practice location
5639 W Genesee St
Camillus, NY 13031-1250
Mailing address
5639 W Genesee St
Camillus, NY 13031-1250
Phone (315) 468-2985
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100308000265 | NY | Part B Supplier - Clinic/Group Practice | 3870638463 |
Receives reassigned benefits from 4 practitioners Practice locations: Camillus, NY |
National Provider Directory
National Provider DirectoryLocations
307 Kasson Rd
Camillus, NY 13031
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Audiologist
- Camillus, NY
- NPI 1881315612
-
- Audiologist
- Camillus, NY
- NPI 1639060874
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262649600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1262649600000",
"number": "1033449558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5639 W GENESEE ST",
"city": "CAMILLUS",
"state": "NY",
"postal_code": "130311250",
"telephone_number": "315-468-2985",
"fax_number": "315-468-6892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5639 W GENESEE ST",
"city": "CAMILLUS",
"state": "NY",
"postal_code": "130311250",
"telephone_number": "315-468-2985",
"fax_number": "315-468-6892"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREFERRED AUDIOLOGY CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-01-05",
"last_updated": "2010-01-05",
"status": "A",
"authorized_official_last_name": "ANZALONE",
"authorized_official_first_name": "NICOLE",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "AUDIOLOGIST/PRESIDENT",
"authorized_official_telephone_number": "315-692-4692",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "AU.D."
},
"taxonomies": [
{
"code": "261QH0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, Hearing and Speech",
"state": "NY",
"license": "002209",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Camillus, NY
- Bonnie Jean Pirro, PHYSICAL THERAPIST
- Podiatry Services of Central New York, PC
- Timothy Poole, PT
- Nancy Popps, NP
- Mark S Potenza, MD
- Preventive Medicine Associates LLC
- Matthew Procopio, MD
- Professional Counseling Services, Inc
- Psychiatric NP Consultants of Central New York, PLLC
- Dorr Duane Pulver, CASAC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.