Organization Active NPI

Advanced Care Audiology P.C.

  • Hearing Aid Equipment
  • Staten Island, NY
National Provider Identifier
1134414402
Registry record updated Oct 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Aid EquipmentTaxonomy code 332S00000X
License
002915-1 Issued in NY
Legal business name
ADVANCED CARE AUDIOLOGY P.C.
Practice address
88 New Dorp PLZ S
Suite 105
Staten Island, NY 10306-2902
Phone
(718) 980-7700
NPI assigned
Jun 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2016

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

Authorized official

Name
Evan BernsteinNPI 1417195843
Title
President
Phone
(718) 980-7700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X 002193-1 NY
Hearing Aid Equipment 332S00000X 002915-1 NY Primary

Addresses

Primary practice location

88 New Dorp PLZ S
Suite 105
Staten Island, NY 10306-2902

Mailing address

88 New Dorp PLZ S
Suite 105
Staten Island, NY 10306-2902

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110720000564 NY Part B Supplier - Clinic/Group Practice 4082882998 Receives reassigned benefits from 2 practitioners
Practice locations: Staten Island, NY; Bronx, NY

National Provider Directory

National Provider Directory

Locations

545 W 236th St
Ste A
Bronx, NY 10463
Phone (718) 601-0080

88 New Dorp Plz S
Ste 105
Staten Island, NY 10306
Phone (718) 980-7700

Practitioners & affiliated clinicians

Practitioners 2

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": "1308096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475712000000",
    "number": "1134414402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 NEW DORP PLZ S",
            "address_2": "SUITE 105",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 NEW DORP PLZ S",
            "address_2": "SUITE 105",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062902",
            "telephone_number": "718-980-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CARE AUDIOLOGY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-15",
        "last_updated": "2016-10-06",
        "status": "A",
        "authorized_official_last_name": "BERNSTEIN",
        "authorized_official_first_name": "EVAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-980-7700"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "NY",
            "license": "002193-1",
            "primary": false
        },
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "NY",
            "license": "002915-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.