Organization Active NPI

Northtown Audiology PC

  • Audiologist
  • East Amherst, NY
National Provider Identifier
1285783340
Registry record updated Mar 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
001157 Issued in NY
Legal business name
NORTHTOWN AUDIOLOGY PC
Practice address
6041 Transit Rd.
Suite 101
East Amherst, NY 14051
Phone
(716) 691-3817
Fax
(716) 691-3548
NPI assigned
Jan 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2020

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

Authorized official

Name
Mr. Marc Joseph Messineo, AUD DOCTOR OF AUDIOL
Title
Audiologist Director
Phone
(716) 691-3817

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X 001157 NY Primary

Addresses

Primary practice location

6041 Transit Rd.
Suite 101
East Amherst, NY 14051

Mailing address

6041 Transit Rd.
Suite 101
East Amherst, NY 14051
Phone (716) 691-3817

Other identifiers 3

IdentifierTypeStateIssuer
005760672OtherNYBLUE CROSS BLUE SHIELD
9211446OtherNYINDEPENDENT HEALTH
00025858301OtherNYUNIVERA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584921600000",
    "number": "1285783340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6041 TRANSIT RD.",
            "address_2": "SUITE 101",
            "city": "EAST AMHERST",
            "state": "NY",
            "postal_code": "14051",
            "telephone_number": "716-691-3817",
            "fax_number": "716-691-3548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6041 TRANSIT RD.",
            "address_2": "SUITE 101",
            "city": "EAST AMHERST",
            "state": "NY",
            "postal_code": "14051",
            "telephone_number": "716-691-3817",
            "fax_number": "716-691-3548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHTOWN AUDIOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A",
        "authorized_official_last_name": "MESSINEO",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "AUDIOLOGIST DIRECTOR",
        "authorized_official_telephone_number": "716-691-3817",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "AUD DOCTOR OF AUDIOL"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "NY",
            "license": "001157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "005760672",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "9211446",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00025858301",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Amherst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2020; 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.