Individual provider Active NPI

Patricia Martucci Thater, AU.D.

  • Assistive Technology Practitioner Audiologist
  • Yorktown Heights, NY
National Provider Identifier
1306842281
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistive Technology Practitioner AudiologistTaxonomy code 231HA2400X
License
001958-1 Issued in NY
Practice address
1940 Commerce St Ste 109
Yorktown Heights, NY 10598-4447
Phone
(914) 685-8011
NPI assigned
Jun 24, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 001958-1 NY
Assistive Technology Supplier Audiologist 231HA2500X 001958-1 NY
Audiologist-Hearing Aid Fitter 237600000X 14000017989 NY
Assistive Technology Practitioner Audiologist 231HA2400X 001958-1 NY Primary

Addresses

Primary practice location

1940 Commerce St Ste 109
Yorktown Heights, NY 10598-4447

Mailing address

35 Joseph CT
Carmel, NY 10512-5042
Phone (914) 565-6550

Other names 1

  • Patricia Ann Martucci Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
001958NYMDMidwife
001958-1NYMDAssistive Technology Practitioner Audiologist
14000017989NYMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Northland Hearing Centers, Inc. Audiologist-Hearing Aid Fitter Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1306842281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 JOSEPH CT",
            "city": "CARMEL",
            "state": "NY",
            "postal_code": "105125042",
            "telephone_number": "914-565-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 COMMERCE ST STE 109",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105984447",
            "telephone_number": "914-685-8011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THATER",
        "first_name": "PATRICIA",
        "middle_name": "MARTUCCI",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-24",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "001958-1",
            "primary": false
        },
        {
            "code": "231HA2500X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Supplier",
            "state": "NY",
            "license": "001958-1",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NY",
            "license": "14000017989",
            "primary": false
        },
        {
            "code": "231HA2400X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Practitioner",
            "state": "NY",
            "license": "001958-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "MARTUCCI",
            "middle_name": "ANN",
            "credential": "M.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Yorktown Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; 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.