Individual provider Active NPI

Matthew Thomas Monette, HIS

  • Hearing Instrument Specialist
  • Commack, NY
National Provider Identifier
1093341075
Registry record updated Mar 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
1400053738 Issued in NY
Practice address
6558 Jericho Tpke
Commack, NY 11725-2901
Phone
(631) 462-3572
Fax
(631) 462-3569
NPI assigned
Mar 21, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 1400053738 NY Primary

Addresses

Primary practice location

6558 Jericho Tpke
Commack, NY 11725-2901

Mailing address

6558 Jericho Tpke
Commack, NY 11725-2901
Phone (631) 462-3572

Other identifiers 1

IdentifierTypeStateIssuer
14000053738OtherNYSTATE LISENCE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Jericho@FrasierEnterprises.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1400053738NYMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Universal Hearing LLC PastSince Mar 29, 2020 Accepting new patients
Lili Hearing Center,Inc. PastSince Mar 29, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jericho@frasierenterprises.com

Organizations & group practices 2

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": "1584748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584748800000",
    "number": "1093341075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6558 JERICHO TPKE",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117252901",
            "telephone_number": "631-462-3572",
            "fax_number": "631-462-3569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6558 JERICHO TPKE",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117252901",
            "telephone_number": "631-462-3572",
            "fax_number": "631-462-3569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONETTE",
        "first_name": "MATTHEW",
        "middle_name": "THOMAS",
        "credential": "HIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-21",
        "last_updated": "2020-03-21",
        "certification_date": "2020-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "NY",
            "license": "1400053738",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LISENCE",
            "identifier": "14000053738",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jericho@FrasierEnterprises.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6558 Jericho Tpke",
            "city": "Commack",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117252901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Commack, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.