NPIMap

Organization Active NPI

Cresswell Audiology PC

  • Audiologist
  • Hopewell JCT, NY
National Provider Identifier
1104395672
Registry record updated Dec 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
CRESSWELL AUDIOLOGY PC
Practice address
2623 Route 52
Hopewell JCT, NY 12533-3215
Phone
(845) 226-2638
Fax
(845) 226-2674
NPI assigned
Nov 14, 2018
Last updated
Dec 18, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2018

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

Authorized official

Name
Tracey Randall, AUD.DNPI 1811994775
Title
President
Phone
(845) 226-2638

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X NU Primary

Addresses

Primary practice location

2623 Route 52
Hopewell JCT, NY 12533-3215

Mailing address

2623 Route 52
Hopewell JCT, NY 12533-3215
Phone (845) 226-2638

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1542153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545091200000",
    "number": "1104395672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2623 ROUTE 52",
            "city": "HOPEWELL JCT",
            "state": "NY",
            "postal_code": "125333215",
            "telephone_number": "845-226-2638",
            "fax_number": "845-226-2674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2623 ROUTE 52",
            "city": "HOPEWELL JCT",
            "state": "NY",
            "postal_code": "125333215",
            "telephone_number": "845-226-2638",
            "fax_number": "845-226-2674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESSWELL AUDIOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-14",
        "last_updated": "2018-12-18",
        "status": "A",
        "authorized_official_last_name": "RANDALL",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-226-2638",
        "authorized_official_credential": "AUD.D"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopewell JCT, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2018; 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.