Individual provider Active NPI

Lauren Marciano Malo, AUD

  • Audiologist
  • Providence, RI
National Provider Identifier
1255060133
Registry record updated Apr 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
277 Issued in RI
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

Updated by the provider on Apr 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20220712000978 RI Practitioner - Qualified Audiologist 3274913918 Reassigns benefits to 1 organization

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
Ri Ear Nose and Throat Physicians IncGroup PAC ID 8921109448, 7 clinicians

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

LicenseStateTypeSpecialty
277RIMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ri Ear Nose & Throat Physicians Inc. CurrentSince Jun 6, 2022 Accepting new patients
Rhode Island Ear, Nose & Throat Physicians, Inc. PastSince Jun 6, 2022 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

  • FHIR API: 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.

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.

Verify at the official NPI Registry.