Jeffrey Shannon, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

002288 Issued in NY

Practice address

11 Medical Park Dr Ste 205
Pomona, NY 10970-3560

Phone

(845) 362-1350

NPI assigned

Feb 16, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Qualified Audiologist

Education

University of Louisville School of Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hudson Valley Audiology PCGroup PAC ID 9739315003, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Hudson Valley Audiology PC

  • Audiologist-Hearing Aid Fitter
  • Pomona, NY
  • NPI 1841624517
  Medicare reassignment Care Compare group NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1266278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1245552371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 MEDICAL PARK DR STE 205",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109703560",
            "telephone_number": "845-362-1350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 MEDICAL PARK DR STE 205",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109703560",
            "telephone_number": "845-362-1350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANNON",
        "first_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-16",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "002288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Joel Schwartz, M.D.
• Gali Schwebel, RD, CDN
• John Scully, LCSW
• Rivka Serebrowski, CNM
• Vipul H Shah, MD
• Adina Meira Shapiro, OTR
• Amy Shapiro
• Leonard Z Shapiro, M.D.
• Gerri Shea
• Laureen Sheinfil, MSED

• Audiologist in Pomona, NY
• Providers in Pomona, NY by specialty
• Audiologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.