Individual provider Active NPI

Sharon K. Gavin, AU.D.

  • Audiologist
  • Tarrytown, NY
National Provider Identifier
1285701722
Registry record updated Mar 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
86 Issued in NY
Practice address
200 S Broadway
Tarrytown, NY 10591-4500
Phone
(914) 631-1166
NPI assigned
Nov 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 86 NY Primary

Addresses

Primary practice location

200 S Broadway
Tarrytown, NY 10591-4500

Mailing address

200 S Broadway
Tarrytown, NY 10591-4500
Phone (914) 631-1166

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20071127000006 NY Practitioner - Qualified Audiologist 0749378891 Reassigns benefits to 1 organization
Practice locations: Tarrytown, NY
I20080313000108 CT Practitioner - Qualified Audiologist 0749378891 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

200 S Broadway
Tarrytown, NY 10591-4500
Phone (914) 631-1166

2127 Crompond Rd
Cortlandt Manor, NY 10567-4329
Phone (914) 737-1600

49 Lake Ave
Greenwich, CT 06830-4501
Phone (203) 629-2388

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000081CTMDAddiction (Substance Use Disorder) Counselor
000086NYMDArt Therapist
86NYMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Gavin Audiology and Hearing AIDS CurrentSince Jan 1, 2017 Accepting new patients
Associates of Otolaryngology PC Past Accepting new patients

Locations

49 Lake Ave
Greenwich, CT 06830
Phone (203) 661-9383

49 Lake Ave
Ste 103
Greenwich, CT 06830
Phone (203) 869-2030

200 S Broadway
Tarrytown, NY 10591
Phone (914) 631-1166

200 S Broadway
Ste 103
Tarrytown, NY 10591

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

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": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363219200000",
    "number": "1285701722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S BROADWAY",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105914500",
            "telephone_number": "914-631-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S BROADWAY",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105914500",
            "telephone_number": "914-631-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAVIN",
        "first_name": "SHARON",
        "middle_name": "K.",
        "credential": "AU.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2013-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "86",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarrytown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2013; 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.