Individual provider Active NPI

Jessica Reitz, AU.D.

  • Audiologist
  • Albany, NY
National Provider Identifier
1295352359
Registry record updated Apr 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
002948 Issued in NY
Practice address
123 Everett Rd
Albany, NY 12205-1407
Phone
(518) 701-2085
Fax
(518) 701-2020
NPI assigned
Jul 6, 2020
Last updated
Apr 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 002948 NY Primary

Addresses

Primary practice location

123 Everett Rd
Albany, NY 12205-1407

Mailing address

123 Everett Rd
Albany, NY 12205-1407
Phone (518) 701-2085

Other practice location 1

763 Hoosick Rd
Troy, NY 12180-6666
Phone (518) 273-2031

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211122002879 NY Practitioner - Qualified Audiologist 8729477260 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.76 of 100Reported as group
Quality
84.34
Promoting interoperability
99
Improvement activities
40
Cost
75.69

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002948NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology Services Company USA, LLC CurrentSince May 13, 2024 Accepting new patients
Audiology Services Company USA, LLC CurrentSince May 13, 2024 Accepting new patients
Audiology Services Company USA, LLC Audiologist Current Accepting new patients

Locations

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

4205 Francis Lewis Blvd
#2
Bayside, NY 11361
Phone (718) 460-3100

240 W Seneca St
Ste 3
Manlius, NY 13104
Phone (315) 682-2025

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

414 Maple Ave
Ste 800
Saratoga Springs, NY 12866
Phone (518) 581-9006

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1593993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650844800000",
    "number": "1295352359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 EVERETT RD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122051407",
            "telephone_number": "518-701-2085",
            "fax_number": "518-701-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 EVERETT RD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122051407",
            "telephone_number": "518-701-2085",
            "fax_number": "518-701-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "763 Hoosick Rd",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "NY",
            "postal_code": "121806666",
            "country_code": "US",
            "telephone_number": "518-273-2031",
            "fax_number": "518-273-8607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REITZ",
        "first_name": "JESSICA",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-06",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "002948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2022; 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.