Active NPI
Jennifer Campolo, AUD
- Audiologist
- Brooklyn, NY
National Provider Identifier
1114307543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 0025381
- Practice address
- 300 Cadman PLZ W
Suite 1301
Brooklyn, NY 11201-2701 - Phone
- (718) 208-4449
- NPI assigned
- Jun 1, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 0025381 | NY | Primary |
Addresses
Primary practice location
300 Cadman PLZ W
Suite 1301
Brooklyn, NY 11201-2701
Mailing address
660 White Plains Rd
Tarrytown, NY 10591-5139
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- State University of New York at Buffalo School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9020 5TH Ave
FL 3
Brooklyn, NY 11209-5908
Phone (718) 833-0515
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0025381 | NY | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Audiology Distribution, LLC | Current | Accepting new patients |
Locations
1660 E 14th St
Ste 303
Brooklyn, NY 11229
Phone (718) 627-2060
1776 Broadway
New York, NY 10019
Phone (212) 399-7329
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Otolaryngology Physician
- Tarrytown, NY
- NPI 1376598326
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745366400000",
"number": "1114307543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "660 WHITE PLAINS RD",
"city": "TARRYTOWN",
"state": "NY",
"postal_code": "105915139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 CADMAN PLZ W",
"address_2": "SUITE 1301",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112012701",
"telephone_number": "718-208-4449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPOLO",
"first_name": "JENNIFER",
"name_prefix": "Dr.",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-01",
"last_updated": "2025-04-23",
"certification_date": "2025-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NY",
"license": "0025381",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; 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.