Individual provider Active NPI

Marc Joseph Messineo, AUD DOCTOR OF AUDIOL

  • Audiologist
  • East Amherst, NY
National Provider Identifier
1154470417
Registry record updated Feb 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
001157 Issued in NY
Practice address
6041 Transit Rd.
Suite 101
East Amherst, NY 14051
Phone
(716) 691-3817
Fax
(716) 691-3548
NPI assigned
Jan 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 001157 NY Primary

Addresses

Primary practice location

6041 Transit Rd.
Suite 101
East Amherst, NY 14051

Mailing address

6041 Transit Rd.
Suite 101
East Amherst, NY 14051
Phone (716) 691-3817

Other identifiers 3

IdentifierTypeStateIssuer
9211446OtherNYINDEPENDENT HEALTH
005760672OtherNYBLUE CROSS BLUE SHIELD
00025858301OtherNYUNIVERA

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

Practice roles

OrganizationSpecialtyStatusNew patients
Amherst Ear Nose & Throat LLC CurrentSince Feb 23, 2020 Accepting new patients

Locations

3950 E Robinson Rd
Ste 106
Buffalo, NY 14228
Phone (716) 691-3500

6041 Transit Rd
Ste 101
East Amherst, NY 14051
Phone (716) 691-3500

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": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582243200000",
    "number": "1154470417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6041 TRANSIT RD.",
            "address_2": "SUITE 101",
            "city": "EAST AMHERST",
            "state": "NY",
            "postal_code": "14051",
            "telephone_number": "716-691-3817",
            "fax_number": "716-691-3548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6041 TRANSIT RD.",
            "address_2": "SUITE 101",
            "city": "EAST AMHERST",
            "state": "NY",
            "postal_code": "14051",
            "telephone_number": "716-691-3817",
            "fax_number": "716-691-3548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESSINEO",
        "first_name": "MARC",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "AUD DOCTOR OF AUDIOL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "001157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "9211446",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "005760672",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00025858301",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Amherst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.