Individual provider Active NPI

Vanessa Forbes, AUD

  • Audiologist
  • Smithtown, NY
National Provider Identifier
1295130201
Registry record updated May 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
14000041955 Issued in NY
Practice address
300 E Main St
Smithtown, NY 11787-2900
Phone
(631) 656-6545
Fax
(631) 265-3733
NPI assigned
Nov 3, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 14000041955 NY Primary

Addresses

Primary practice location

300 E Main St
Smithtown, NY 11787-2900

Mailing address

117 Terry Rd
Ste a
Smithtown, NY 11787-5031
Phone (631) 656-6545

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170412001327 NY Practitioner - Qualified Audiologist 5496031106 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002479NYMDArt Therapist
14000041955NYMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology Services Company USA, LLC CurrentSince Aug 1, 2018 Accepting new patients
Audiology Services Company USA, LLC CurrentSince Aug 1, 2018 Accepting new patients
Audiology Services Company USA, LLC Audiologist Current Accepting new patients

Locations

2501 Cottontail Ln
Somerset, NJ 08873
Phone (732) 529-7120

515 Madison Ave
Rm 2302
New York, NY 10022
Phone (212) 421-0889

58 S Main St
Sayville, NY 11782
Phone (631) 750-6376

117 Terry Rd
Ste A
Smithtown, NY 11787
Phone (631) 240-4633

Organizations & group practices 3

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": "1414972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557360000000",
    "number": "1295130201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 TERRY RD",
            "address_2": "STE A",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117875031",
            "telephone_number": "631-656-6545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E MAIN ST",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872900",
            "telephone_number": "631-656-6545",
            "fax_number": "631-265-3733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORBES",
        "first_name": "VANESSA",
        "name_prefix": "Miss",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-03",
        "last_updated": "2019-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "14000041955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.