Individual provider Active NPI

Carolyn M. Tully

  • Hearing Instrument Specialist
  • Syosset, NY
National Provider Identifier
1275847907
Registry record updated Aug 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
1898593 Issued in NY
Practice address
2 Roosevelt Ave
Suite 300
Syosset, NY 11791-3064
Phone
(516) 496-4460
NPI assigned
Aug 5, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 1898593 NY Primary

Addresses

Primary practice location

2 Roosevelt Ave
Suite 300
Syosset, NY 11791-3064

Mailing address

1 E Broadway
Apt. 7H
Long Beach, NY 11561-4126
Phone (516) 458-0270

Other identifiers 1

IdentifierTypeStateIssuer
1125CTOtherNYTEACHER OF THE DEAF AND HARD OF HEARING

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1898593NYMDHearing Instrument Specialist

NPI Registry JSON

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

{
    "created_epoch": "1280966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280966400000",
    "number": "1275847907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 E BROADWAY",
            "address_2": "APT. 7H",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115614126",
            "telephone_number": "516-458-0270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 ROOSEVELT AVE",
            "address_2": "SUITE 300",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117913064",
            "telephone_number": "516-496-4460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TULLY",
        "first_name": "CAROLYN",
        "middle_name": "M.",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-05",
        "last_updated": "2010-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "NY",
            "license": "1898593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEACHER OF THE DEAF AND HARD OF HEARING",
            "identifier": "1125CT",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Syosset, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.