Individual provider Active NPI

Joanne Tzortzatos, MS,CCC-A, AUD

  • Audiologist
  • Jackson Heights, NY
National Provider Identifier
1275744286
Registry record updated Feb 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
0018561 Issued in NY
Practice address
74-20 25TH Avenue
Jackson Heights, NY 11370-1428
Phone
(718) 350-3171
Fax
(718) 458-1367
NPI assigned
May 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 0018561 NY Primary
Audiologist-Hearing Aid Fitter 237600000X 14000014873 NY

Addresses

Primary practice location

74-20 25TH Avenue
Jackson Heights, NY 11370-1428

Mailing address

74-20 25TH Avenue
Jackson Heights, NY 11370-1428
Phone (718) 350-3171

Other identifiers 1

IdentifierTypeStateIssuer
02797097MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040527000419 NY Practitioner - Qualified Audiologist 7517948300 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7420 25TH Ave
East Elmhurst, NY 11370-1428
Phone (718) 350-3172

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0018561NYMDAudiologist
14000014873NYMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Lexington Hearing and Speech Center, Inc. CurrentSince Jan 1, 2010 Accepting new patients
Lexington Hearing and Speech Center, Inc Past Accepting new patients
Audiology Distribution, LLC Audiologist-Hearing Aid Fitter PastSince Apr 1, 2012 Accepting new patients
Hearusa Inc Audiologist-Hearing Aid Fitter Past Accepting new patients

Locations

2526 75th St
East Elmhurst, NY 11370
Phone (718) 350-3110

7420 25th Ave
Flushing, NY 11370
Phone (718) 350-3171

Organizations & group practices 4

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": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455840000000",
    "number": "1275744286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74-20 25TH AVENUE",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113701428",
            "telephone_number": "718-350-3171",
            "fax_number": "718-458-1367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74-20 25TH AVENUE",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113701428",
            "telephone_number": "718-350-3171",
            "fax_number": "718-458-1367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TZORTZATOS",
        "first_name": "JOANNE",
        "name_prefix": "Mrs.",
        "credential": "MS,CCC-A, AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2016-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "0018561",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NY",
            "license": "14000014873",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02797097",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2016; 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.