Organization Active NPI

Artem Yusupov Audiology P.C.

  • Hearing and Speech Clinic/Center
  • Fresh Meadows, NY
National Provider Identifier
1134597701
Registry record updated Nov 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
License
002588 Issued in NY
Legal business name
ARTEM YUSUPOV AUDIOLOGY P.C.
Practice address
7011 172ND St
Fresh Meadows, NY 11365-3339
Phone
(718) 313-2608
Fax
(718) 425-0221
NPI assigned
Sep 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2024

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

Authorized official

Name
Artem Yusupov, AUDNPI 1053765388
Title
Owner
Phone
(718) 355-8639

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X 002588 NY Primary

Addresses

Primary practice location

7011 172ND St
Fresh Meadows, NY 11365-3339

Mailing address

7011 172ND St
Fresh Meadows, NY 11365-3339
Phone (718) 313-2608

Other names 1

  • Universal Hearing Centers Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160620000032 NY Part B Supplier - Clinic/Group Practice 2163713363 Receives reassigned benefits from 1 practitioner
Practice locations: Forest Hills, NY

National Provider Directory

National Provider Directory

Locations

10825 72nd Ave
Ste 1A
Forest Hills, NY 11375
Phone (347) 561-9535

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1442016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730592000000",
    "number": "1134597701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7011 172ND ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113653339",
            "telephone_number": "718-313-2608",
            "fax_number": "718-425-0221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7011 172ND ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113653339",
            "telephone_number": "718-313-2608",
            "fax_number": "718-425-0221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARTEM YUSUPOV AUDIOLOGY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-12",
        "last_updated": "2024-11-03",
        "certification_date": "2024-11-03",
        "status": "A",
        "authorized_official_last_name": "YUSUPOV",
        "authorized_official_first_name": "ARTEM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-355-8639",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "NY",
            "license": "002588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Universal Hearing Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fresh Meadows, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2024; 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.