Active NPI
MLR Audiology PC
- Audiologist
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20221216000940 | NY | Part B Supplier - Clinic/Group Practice | 6305215112 |
Receives reassigned benefits from 5 practitioners Practice locations: Brooklyn, NY |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Audiologist
- Brooklyn, NY
- NPI 1063953461
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.