Individual provider Active NPI

John J McNamara, MA

  • Audiologist
  • Rochester, NY
National Provider Identifier
1275551798
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
000888 Issued in NY
Practice address
2210 Monroe Ave
Ste 2
Rochester, NY 14618-2436
Phone
(585) 338-1400
Fax
(585) 336-4845
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 000888 NY Primary

Addresses

Primary practice location

2210 Monroe Ave
Ste 2
Rochester, NY 14618-2436

Mailing address

2210 Monroe Ave
Ste 2
Rochester, NY 14618-2436
Phone (585) 339-4793

Other identifiers 1

IdentifierTypeStateIssuer
00355266MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061109000527 NY Practitioner - Qualified Audiologist 4183622996 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1983
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2210 Monroe Ave
Rochester, NY 14618-2436

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
000888NYMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Ontario Hearing Instruments Corp. CurrentSince Jan 1, 1990 Accepting new patients
Ontario Hearing Center Inc CurrentSince Nov 7, 2025 Accepting new patients

Locations

2210 Monroe Ave
Ste 2
Rochester, NY 14618
Phone (315) 719-8594

2210 Monroe Ave
Rochester, NY 14618
Phone (585) 442-4180

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1275551798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 MONROE AVE",
            "address_2": "STE 2",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146182436",
            "telephone_number": "585-339-4793",
            "fax_number": "585-336-4845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 MONROE AVE",
            "address_2": "STE 2",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146182436",
            "telephone_number": "585-338-1400",
            "fax_number": "585-336-4845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNAMARA",
        "first_name": "JOHN",
        "middle_name": "J",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "000888",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00355266",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; 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.