Active NPI
Artem Yusupov Audiology P.C.
- Hearing and Speech Clinic/Center
- Fresh Meadows, NY
National Provider Identifier
1134597701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing and Speech Clinic/Center
- License
- 002588
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Artem Yusupov, AUD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
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.