Active NPI
Carol B Letzter, AUD
- Audiologist-Hearing Aid Fitter
- Levittown, NY
National Provider Identifier
1265430300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- 000857
- Practice address
- 432 Gardiners Ave
Levittown, NY 11756-3703 - Phone
- (516) 446-5847
- Fax
- (718) 641-7582
- NPI assigned
- Jul 12, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 011018 | NY | |
| Audiologist-Hearing Aid Fitter | 237600000X | 000857 | NY | Primary |
Addresses
Primary practice location
432 Gardiners Ave
Levittown, NY 11756-3703
Mailing address
432 Gardiners Ave
Levittown, NY 11756-3703
Phone (516) 446-5847
Other practice location 1
16124 84th St
Howard Beach, NY 11414-3315
Phone (718) 641-3817
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01055361 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000857 | NY | MD | Art Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Omni Center | Current | Accepting new patients |
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.
-
- Hearing and Speech Clinic/Center
- Howard Beach, NY
- NPI 1497896112
-
- Early Intervention Provider Agency
- Howard Beach, NY
- NPI 1558595645
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711065600000",
"number": "1265430300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "432 GARDINERS AVE",
"city": "LEVITTOWN",
"state": "NY",
"postal_code": "117563703",
"telephone_number": "516-446-5847",
"fax_number": "718-641-7582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "432 GARDINERS AVE",
"city": "LEVITTOWN",
"state": "NY",
"postal_code": "117563703",
"telephone_number": "516-446-5847",
"fax_number": "718-641-7582"
}
],
"practiceLocations": [
{
"address_1": "16124 84th St",
"address_purpose": "LOCATION",
"city": "Howard Beach",
"state": "NY",
"postal_code": "114143315",
"country_code": "US",
"telephone_number": "718-641-3817",
"fax_number": "718-641-7582",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LETZTER",
"first_name": "CAROL",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "AUD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-07-12",
"last_updated": "2024-03-22",
"certification_date": "2024-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "011018",
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "NY",
"license": "000857",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01055361",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Levittown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; 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.