Active NPI
Sarah R Sugden, AU.D.
- Audiologist
- Watertown, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 001576
- Practice address
- 53-59 Public SQ
Suite 100
Watertown, NY 13601-2674 - Phone
- (315) 786-3225
- Fax
- (315) 786-3215
- NPI assigned
- Apr 25, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 001576 | NY | Primary |
Addresses
Primary practice location
53-59 Public SQ
Suite 100
Watertown, NY 13601-2674
Mailing address
53-59 Public SQ
Suite 100
Watertown, NY 13601-2674
Phone (315) 786-3225
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02082575 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, AZ
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- University of Florida College of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14239 W Bell Rd
Suite 104
Surprise, AZ 85374-2470
Phone (315) 786-3225
53 -59 Public SQ
Suite 202
Watertown, NY 13601-2674
Phone (315) 786-3225
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001576 | NY | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Coast Audiology and Physical Therapy, PLLC | Audiologist | Current | Accepting new patients |
Locations
14239 W Bell Rd
Ste 104
Surprise, AZ 85374
Phone (315) 786-3225
544 Towne Dr
Fayetteville, NY 13066
Phone (315) 637-8800
53-59 Public Sq
Ste 202
Watertown, NY 13601
Phone (315) 786-3225
Organizations & group practices 1
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.
-
- Physical Therapist
- Watertown, NY
- NPI 1376048652
Audiologist, AZ
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445904000000",
"number": "1306065289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "53-59 PUBLIC SQ",
"address_2": "SUITE 100",
"city": "WATERTOWN",
"state": "NY",
"postal_code": "136012674",
"telephone_number": "315-786-3225",
"fax_number": "315-786-3215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "53-59 PUBLIC SQ",
"address_2": "SUITE 100",
"city": "WATERTOWN",
"state": "NY",
"postal_code": "136012674",
"telephone_number": "315-786-3225",
"fax_number": "315-786-3215"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUGDEN",
"first_name": "SARAH",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-25",
"last_updated": "2015-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NY",
"license": "001576",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02082575",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Watertown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2015; 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.