Active NPI
Jaron Kraig Thomas, AU.D.
- Audiologist
- Brooklyn, NY
National Provider Identifier
1154095610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 003036
- Practice address
- 214 Atlantic Ave
Brooklyn, NY 11201-5781 - Phone
- (347) 223-5448
- Fax
- (347) 410-6125
- NPI assigned
- Aug 6, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 | 003036 | NY | Primary |
Addresses
Primary practice location
214 Atlantic Ave
Brooklyn, NY 11201-5781
Mailing address
11400 N Jog Rd
Palm Beach Gardens, FL 33418-1756
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Audiology Distribution, LLC | Current | Accepting new patients |
Locations
11400 N Jog Rd
Palm Beach Gardens, FL 33418
Phone 5614788770 ext. 181
Dept 3298
Carol Stream, IL 60132
214 Atlantic Ave
Brooklyn, NY 11201
Phone (347) 223-5448
1776 Broadway
New York, NY 10019
Phone (212) 399-7329
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628208000000",
"number": "1154095610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11400 N JOG RD",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334181756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 ATLANTIC AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112015781",
"telephone_number": "347-223-5448",
"fax_number": "347-410-6125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "JARON",
"middle_name": "KRAIG",
"credential": "AU.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-08-06",
"last_updated": "2021-08-06",
"certification_date": "2021-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NY",
"license": "003036",
"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 Aug 6, 2021; 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.