Individual provider Active NPI

Lisa Marie McDevitt, AU.D.

  • Audiologist
  • Nesconset, NY
National Provider Identifier
1043455033
Registry record updated Dec 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
002220-1 Issued in NY
Practice address
57 Southern Blvd Ste 4
Nesconset, NY 11767-1091
Phone
(631) 238-5785
NPI assigned
Dec 5, 2008
Last updated
Dec 2, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 002220-1 NY Primary

Addresses

Primary practice location

57 Southern Blvd Ste 4
Nesconset, NY 11767-1091

Mailing address

57 Southern Blvd Ste 4
Nesconset, NY 11767-1091
Phone (631) 238-5785

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090409000592 NY Practitioner - Qualified Audiologist 2466509328 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
University of Connecticut School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ear Works Audiology PCGroup PAC ID 7517854524, 15 clinicians

Practice addresses (Care Compare)

57 Southern Blvd
Suite 4
Nesconset, NY 11767-1091
Phone (631) 238-5785

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002220-1NYMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ear Works Audiology PC Audiologist CurrentSince Dec 1, 2016 Accepting new patients
Ear Works Audiology Audiologist PastSince Dec 1, 2016 Accepting new patients

Locations

400 W Main St
Ste 342
Babylon, NY 11702

4045 Hempstead Tpke
Ste 202
Bethpage, NY 11714
Phone (516) 396-1027

6080 Jericho Tpke
Ste 208
Commack, NY 11725
Phone (631) 486-9430

1100 Franklin Ave
Ste 300
Garden City, NY 11530
Phone (516) 248-0068

225 Community Dr
Ste 120
Great Neck, NY 11021
Phone (516) 466-0206

20 Hicksville Rd
Ste 3
Massapequa, NY 11758
Phone (516) 541-5500

57 Southern Blvd
Ste 4
Nesconset, NY 11767
Phone (631) 238-5785

2 Ohio Dr
Ste 200
New Hyde Park, NY 11042
Phone (516) 563-7066

1500 Route 112
Bldg 6H
Port Jeff Sta, NY 11776

485 Underhill Blvd
Ste 305
Syosset, NY 11791

5964 Route 25A
Wading River, NY 11792
Phone (631) 886-2770

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1228435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575244800000",
    "number": "1043455033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 SOUTHERN BLVD STE 4",
            "city": "NESCONSET",
            "state": "NY",
            "postal_code": "117671091",
            "telephone_number": "631-238-5785",
            "fax_number": "631-238-5786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 SOUTHERN BLVD STE 4",
            "city": "NESCONSET",
            "state": "NY",
            "postal_code": "117671091",
            "telephone_number": "631-238-5785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDEVITT",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-05",
        "last_updated": "2019-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "002220-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nesconset, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2019; 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.