Organization Active NPI

MLR Audiology PC

  • Audiologist
  • Brooklyn, NY
National Provider Identifier
1205545282
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
MLR AUDIOLOGY PC
Practice address
1400 Avenue Z Ste 203
Brooklyn, NY 11235-3837
Phone
(718) 745-6363
Fax
(718) 836-2223
NPI assigned
Nov 18, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Authorized official

Name
Mrs. Angela Mormina
Title
Practice Manager
Phone
(646) 773-8730

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X Primary

Addresses

Primary practice location

1400 Avenue Z Ste 203
Brooklyn, NY 11235-3837

Mailing address

1400 Avenue Z Ste 203
Brooklyn, NY 11235-3837
Phone (718) 745-6363

Other practice location 1

8502 4th Ave
Brooklyn, NY 11209-4608
Phone (718) 745-6363

Other practice location 2

142 Joralemon St Ste 810
Brooklyn, NY 11201-4747
Phone (718) 745-6363

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221216000940 NY Part B Supplier - Clinic/Group Practice 6305215112 Receives reassigned benefits from 5 practitioners
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

1400 Avenue Z
Ste 203
Brooklyn, NY 11235
Phone (718) 745-6363

8502 4th Ave
Brooklyn, NY 11209
Phone (718) 745-6363

142 Joralemon St
Ste 810
Brooklyn, NY 11201
Phone (718) 745-6363

Practitioners & affiliated clinicians

Practitioners 5

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": "1668729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755043200000",
    "number": "1205545282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 AVENUE Z STE 203",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353837",
            "telephone_number": "718-745-6363",
            "fax_number": "718-836-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 AVENUE Z STE 203",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353837",
            "telephone_number": "718-745-6363",
            "fax_number": "718-836-2223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8502 4th Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112094608",
            "country_code": "US",
            "telephone_number": "718-745-6363",
            "fax_number": "718-836-2223",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "142 Joralemon St Ste 810",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112014747",
            "country_code": "US",
            "telephone_number": "718-745-6363",
            "fax_number": "718-836-2223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MLR AUDIOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-18",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A",
        "authorized_official_last_name": "MORMINA",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "646-773-8730",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "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 13, 2025; 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.

Verify at the official NPI Registry.