Individual provider Active NPI

Carol B Letzter, AUD

  • Audiologist-Hearing Aid Fitter
  • Levittown, NY
National Provider Identifier
1265430300
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
000857 Issued in NY
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

Updated by the provider on Mar 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01055361MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050128000624 NY Practitioner - Qualified Audiologist 2860442613 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000857NYMDArt Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Omni Center CurrentSince May 7, 2025 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.

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.

Verify at the official NPI Registry.