Individual provider Active NPI

Judith A. McMahon, AU.D

  • Audiologist
  • Cortland, NY
National Provider Identifier
1316098270
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
001450-1 Issued in NY
Practice address
9 Church St
Cortland, NY 13045-2709
Phone
(607) 756-8915
Fax
(607) 756-1820
NPI assigned
Jan 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 001450-1 NY Primary

Addresses

Primary practice location

9 Church St
Cortland, NY 13045-2709

Mailing address

9 Church St
Cortland, NY 13045-2709
Phone (607) 756-8915

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040709000887 NY Practitioner - Qualified Audiologist 3971581612 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Pennsylvania College of Optometry, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2333 N Triphammer Rd
Suite 503
Ithaca, NY 14850-1075
Phone (607) 266-7682

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001450-1NYMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Hearing Aid Consultants of Central New York, LLC Audiologist CurrentSince Nov 1, 2017 Accepting new patients
Primary Physical Therapy PLLC Past Accepting new patients

Locations

3452 State Route 31
#2
Baldwinsville, NY 13027
Phone (315) 944-3012

1109 Commons Ave
Cortland, NY 13045
Phone (607) 756-7991

9 Church St
Cortland, NY 13045
Phone (607) 756-5406

2333 N Triphammer Rd
Ste 503
Ithaca, NY 14850
Phone (607) 266-7682

Organizations & group practices 2

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": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316098270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 CHURCH ST",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130452709",
            "telephone_number": "607-756-8915",
            "fax_number": "607-756-1820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 CHURCH ST",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130452709",
            "telephone_number": "607-756-8915",
            "fax_number": "607-756-1820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMAHON",
        "first_name": "JUDITH",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "AU.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "001450-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cortland, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.