Active NPI
Lauren Marciano Malo, AUD
- Audiologist
- Providence, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 277
- Practice address
- 148 W River St Ste 2a
Providence, RI 02904-2615 - Phone
- (401) 728-0140
- NPI assigned
- Jun 7, 2022
- 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 | 277 | RI | Primary |
Addresses
Primary practice location
148 W River St Ste 2a
Providence, RI 02904-2615
Mailing address
148 W River St Ste 2a
Providence, RI 02904-2615
Phone (401) 728-0140
Other practice location 1
2138 Mendon Rd Ste 204
Cumberland, RI 02864-3836
Phone (401) 228-6450
Other practice location 2
1524 Atwood Ave Ste 231
Johnston, RI 02919-3228
Phone (401) 272-2457
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- University of Connecticut School of Medicine, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
148 W River St
Suite 2a
Providence, RI 02904-2615
Phone (401) 728-0140
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 277 | RI | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ri Ear Nose & Throat Physicians Inc. | Current | Accepting new patients | |
| Rhode Island Ear, Nose & Throat Physicians, Inc. | Past | Accepting new patients |
Locations
2138 Mendon Rd
Ste 204
Cumberland, RI 02864
Phone (401) 228-6450
1524 Atwood Ave
Ste 231
Johnston, RI 02919
Phone (401) 272-2457
148 W River St
Ste 2A
Providence, RI 02904
Phone (401) 728-0140
Interoperability endpoints
- https://api.platform.athenahealth.com/12737/brand/1/csg/1/fhir/r4
Organizations & group practices 2
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.
-
- Otolaryngology Physician
- Providence, RI
- NPI 1093861049
-
- Otolaryngology Physician
- Johnston, RI
- NPI 1386840882
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681430400000",
"number": "1255060133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "148 W RIVER ST STE 2A",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029042615",
"telephone_number": "401-728-0140",
"fax_number": "401-727-1979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "148 W RIVER ST STE 2A",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029042615",
"telephone_number": "401-728-0140"
}
],
"practiceLocations": [
{
"address_1": "2138 Mendon Rd Ste 204",
"address_purpose": "LOCATION",
"city": "Cumberland",
"state": "RI",
"postal_code": "028643836",
"country_code": "US",
"telephone_number": "401-228-6450",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1524 Atwood Ave Ste 231",
"address_purpose": "LOCATION",
"city": "Johnston",
"state": "RI",
"postal_code": "029193228",
"country_code": "US",
"telephone_number": "401-272-2457",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MALO",
"first_name": "LAUREN",
"middle_name": "MARCIANO",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-07",
"last_updated": "2023-04-14",
"certification_date": "2023-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "RI",
"license": "277",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2023; 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.