Individual provider Active NPI

Jessica B Lacorte, AUD

  • Audiologist
  • New York, NY
National Provider Identifier
1336370048
Registry record updated Mar 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
0022651 Issued in NY
Practice address
36A E 36TH St Ste 200
Suite 200 - Nyog
New York, NY 10016-3364
Phone
(212) 889-8575
Fax
(212) 889-0565
NPI assigned
Jul 29, 2009
Last updated
Mar 26, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 0022651 NY Primary

Addresses

Primary practice location

36A E 36TH St Ste 200
Suite 200 - Nyog
New York, NY 10016-3364

Mailing address

36 E 36TH St PH a
Suite 101
New York, NY 10016-3453
Phone (212) 889-8575

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
0022651NYMDAudiologist

Interoperability endpoints

  • Direct secure messaging: jlacorte25812@northwell.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1248825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427328000000",
    "number": "1336370048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 E 36TH ST PH A",
            "address_2": "SUITE 101",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100163453",
            "telephone_number": "212-889-8575",
            "fax_number": "212-889-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36A E 36TH ST STE 200",
            "address_2": "SUITE 200 - NYOG",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100163364",
            "telephone_number": "212-889-8575",
            "fax_number": "212-889-0565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACORTE",
        "first_name": "JESSICA",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-29",
        "last_updated": "2015-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "0022651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2015; 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.