Jordan Sgroi

Primary specialty

AudiologistTaxonomy code 231H00000X

License

002721 Issued in NY

Practice address

544 Towne Dr
Fayetteville, NY 13066-1331

Phone

(315) 637-8800

NPI assigned

Sep 8, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Preferred Audiology Care, LLCGroup PAC ID 3870638463, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Preferred Audiology Care, LLC

  • Hearing and Speech Clinic/Center
  • Camillus, NY
  • NPI 1033449558

  NY

  Medicare reassignment Care Compare group NPD
• East Coast Audiology and Physical Therapy, PLLC

  • Physical Therapist
  • Watertown, NY
  • NPI 1376048652

  Audiologist, NY

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1504828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504828800000",
    "number": "1265950406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "544 TOWNE DR",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "130661331",
            "telephone_number": "315-637-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "544 TOWNE DR",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "130661331",
            "telephone_number": "315-637-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SGROI",
        "first_name": "JORDAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-08",
        "last_updated": "2017-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "002721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hajrija Selimovic
• Donna Sellinger, RDH
• Sellyei Chiropractic
• Stephanie Senat, PHARMD
• Theresa M. Setter, APRN-BC
• Michelle Elizabeth Sgroi, LMFT
• Christine Shaffer, NP
• Madison Drew Sheridan, FNP-C
• Jian Shu, LIC. AC.
• Nagulinie Shukla, P.N.P.

• All providers in Fayetteville, NY
• Audiologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2017; 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.