Individual provider Active NPI

Kathleen Page, M.A., F.A.A.A.

  • Audiologist
  • Smithtown, NY
National Provider Identifier
1063425353
Registry record updated Sep 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
000651 Issued in NY
Practice address
732 Smithtown Byp
Suite 301
Smithtown, NY 11787-5020
Phone
(631) 360-4327
Fax
(631) 780-6822
NPI assigned
Aug 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 000651 NY Primary

Addresses

Primary practice location

732 Smithtown Byp
Suite 301
Smithtown, NY 11787-5020

Mailing address

732 Smithtown Byp
Suite 301
Smithtown, NY 11787-5020
Phone (631) 360-4327

Other identifiers 7

IdentifierTypeStateIssuer
1063425353OtherNPI
1114936291OtherNPI
G100025456OtherMEDICARE PTAN - PRACTICE/HEARS AUDIOLOGY PC (QUEENS-SILVERCREST)
G400025969OtherMEDICARE PTAN - INDIVIDUAL, QUEENS (SILVERCREST)
M7107WA271OtherMEDICARE PTAN - INDIVIDUAL IN GROUP/PRACTICE
M74613OtherNYEMPIRE BLUE CROSS/BLUE SH
WWA271OtherMEDICARE PTAN - PRACTICE/HEARS AUDIOLOGY PC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040708001171 NY Practitioner - Qualified Audiologist 3971581752 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

732 Smithtown Byp
Suite 301
Smithtown, NY 11787-5020
Phone (631) 360-4327

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
H E a R S Audiology P C Audiologist CurrentSince Jul 1, 2006 Accepting new patients
Enhanced Hearing Services, LLC Past Accepting new patients
Aaa Hearing AIDS and Services LLC Past Accepting new patients
Aaa Hearing AIDS & Services, Inc. Past Accepting new patients

Locations

14445 87th Ave
Jamaica, NY 11435
Phone (718) 239-0030

732 Smithtown Byp
#3
Smithtown, NY 11787

732 Smithtown Byp
Ste 301
Smithtown, NY 11787
Phone (631) 360-4327

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378512000000",
    "number": "1063425353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "732 SMITHTOWN BYP",
            "address_2": "SUITE 301",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117875020",
            "telephone_number": "631-360-4327",
            "fax_number": "631-780-6822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732 SMITHTOWN BYP",
            "address_2": "SUITE 301",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117875020",
            "telephone_number": "631-360-4327",
            "fax_number": "631-780-6822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGE",
        "first_name": "KATHLEEN",
        "credential": "M.A., F.A.A.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2013-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "000651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1063425353",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1114936291",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN - PRACTICE/HEARS AUDIOLOGY PC (QUEENS-SILVERCREST)",
            "identifier": "G100025456",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN - INDIVIDUAL, QUEENS (SILVERCREST)",
            "identifier": "G400025969",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN - INDIVIDUAL IN GROUP/PRACTICE",
            "identifier": "M7107WA271",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS/BLUE SH",
            "identifier": "M74613",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN - PRACTICE/HEARS AUDIOLOGY PC",
            "identifier": "WWA271",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2013; 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.