Individual provider Active NPI

Christine Stoklosa, MS-CCCA

  • Audiologist
  • Middletown, NY
National Provider Identifier
1265623185
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
2169 Issued in NY
Practice address
390 Crystal Run Rd Ste 105
Middletown, NY 10941-4051
Phone
(845) 703-8118
Fax
(845) 703-8159
NPI assigned
Aug 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 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 2169 NY Primary

Addresses

Primary practice location

390 Crystal Run Rd Ste 105
Middletown, NY 10941-4051

Mailing address

390 Crystal Run Rd Ste 105
Middletown, NY 10941-4051
Phone (845) 703-8118

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090521000556 NY Practitioner - Qualified Audiologist 7214086214 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2169NYMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Audiology of Ny PC CurrentSince Oct 22, 2018 Accepting new patients
Audio Help Associates, Inc. PastSince Sep 1, 2012 Accepting new patients

Locations

390 Crystal Run Rd
Ste 105
Middletown, NY 10941
Phone (845) 703-8118

111 Brook St
Scarsdale, NY 10583
Phone (347) 397-7563

115 Main St
#A
Tuckahoe, NY 10707
Phone (914) 395-3277

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": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1265623185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 CRYSTAL RUN RD STE 105",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109414051",
            "telephone_number": "845-703-8118",
            "fax_number": "845-703-8159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 CRYSTAL RUN RD STE 105",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109414051",
            "telephone_number": "845-703-8118",
            "fax_number": "845-703-8159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOKLOSA",
        "first_name": "CHRISTINE",
        "credential": "MS-CCCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-06",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "2169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; 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.