Active NPI
Marlene Forzano, M.A., CCC-A
- Audiologist
- Riverhead, NY
National Provider Identifier
1144264441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 001826
- Practice address
- 1080 Old Country Rd Unit a
Riverhead, NY 11901-2036 - Phone
- (631) 369-7280
- Fax
- (631) 369-7279
- NPI assigned
- Jun 16, 2006
- Last updated
- Jan 16, 2009
- 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 | 001826 | NY | Primary |
Addresses
Primary practice location
1080 Old Country Rd Unit a
Riverhead, NY 11901-2036
Mailing address
PO Box 406153
Atlanta, GA 30384-1876
Phone (631) 369-7280
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1113 | MA | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hearusa Inc | Past | Accepting new patients | |
| Advanced Hearing Centers | Audiologist | Past | Accepting new patients |
| Hearusa Inc | Audiologist | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Audiologist-Hearing Aid Fitter
- West Palm Beach, FL
- NPI 1073560231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232064000000",
"number": "1144264441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 406153",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303841876",
"telephone_number": "631-369-7280",
"fax_number": "631-369-7279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1080 OLD COUNTRY RD UNIT A",
"city": "RIVERHEAD",
"state": "NY",
"postal_code": "119012036",
"telephone_number": "631-369-7280",
"fax_number": "631-369-7279"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORZANO",
"first_name": "MARLENE",
"credential": "M.A., CCC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-16",
"last_updated": "2009-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NY",
"license": "001826",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverhead, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.