Active NPI
Megan O'Connor Jordan, AUD
- Audiologist
- East Syracuse, NY
National Provider Identifier
1194050849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 002277-1
- Practice address
- 6700 Kirkville Rd
Suite 107
East Syracuse, NY 13057-9305 - Phone
- (315) 463-1724
- Fax
- (315) 463-4020
- NPI assigned
- Oct 14, 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 | 002277-1 | NY | Primary |
Addresses
Primary practice location
6700 Kirkville Rd
Suite 107
East Syracuse, NY 13057-9305
Mailing address
6700 Kirkville Rd
Suite 107
East Syracuse, NY 13057-9305
Phone (315) 463-1724
Other names 1
- Dr. Megan O'Connor Moffit
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002277-1 | NY | MD | Audiologist |
| 002277 | NY | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alpaca Hearing - New York Inc | Audiologist | Past | Accepting new patients |
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": "1255478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276560000000",
"number": "1194050849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6700 KIRKVILLE RD",
"address_2": "SUITE 107",
"city": "EAST SYRACUSE",
"state": "NY",
"postal_code": "130579305",
"telephone_number": "315-463-1724",
"fax_number": "315-463-4020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6700 KIRKVILLE RD",
"address_2": "SUITE 107",
"city": "EAST SYRACUSE",
"state": "NY",
"postal_code": "130579305",
"telephone_number": "315-463-1724",
"fax_number": "315-463-4020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORDAN",
"first_name": "MEGAN",
"middle_name": "O'CONNOR",
"name_prefix": "Dr.",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-14",
"last_updated": "2010-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NY",
"license": "002277-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MEGAN",
"last_name": "MOFFIT",
"middle_name": "O'CONNOR",
"prefix": "DR.",
"credential": "AUD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in East Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.