Active NPI
Robert M Piede, MA, CCC-A
- Audiologist
- Jamestown, NY
National Provider Identifier
1295991610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 000209-1
- Practice address
- 207 Foote Ave
Jamestown, NY 14701-7077 - Phone
- (716) 664-8194
- Fax
- (716) 664-8418
- NPI assigned
- Aug 5, 2008
- Last updated
- Aug 5, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 000209-1 | NY | Primary |
| Audiologist-Hearing Aid Fitter | 237600000X | 14000011100 | NY |
Addresses
Primary practice location
207 Foote Ave
Jamestown, NY 14701-7077
Mailing address
PO Box 840
Jamestown, NY 14702-0840
Phone (716) 664-8194
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000209-1 | Other | NY | NYS AUDIOLOGIST LICENSE |
| 14000011100 | Other | NY | NYS HEARING AID DISPENSER |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000209-1 | NY | MD | Audiologist |
| 14000011100 | NY | MD | Audiologist-Hearing Aid Fitter |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217894400000",
"number": "1295991610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 840",
"city": "JAMESTOWN",
"state": "NY",
"postal_code": "147020840",
"telephone_number": "716-664-8194",
"fax_number": "716-664-8418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 FOOTE AVE",
"city": "JAMESTOWN",
"state": "NY",
"postal_code": "147017077",
"telephone_number": "716-664-8194",
"fax_number": "716-664-8418"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIEDE",
"first_name": "ROBERT",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "MA, CCC-A",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-05",
"last_updated": "2008-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NY",
"license": "000209-1",
"primary": true
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "NY",
"license": "14000011100",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS AUDIOLOGIST LICENSE",
"identifier": "000209-1",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS HEARING AID DISPENSER",
"identifier": "14000011100",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jamestown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.