Individual provider Active NPI

Todd A. Harry, AUD

  • Audiologist
  • Geneva, NY
National Provider Identifier
1336395367
Registry record updated Nov 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
002227 Issued in NY
Practice address
64 Elizabeth Blackwel Street
Suite C
Geneva, NY 14456
Phone
(315) 789-3595
NPI assigned
Aug 11, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 002227 NY Primary
Audiologist-Hearing Aid Fitter 237600000X 14000026917 NY

Addresses

Primary practice location

64 Elizabeth Blackwel Street
Suite C
Geneva, NY 14456

Mailing address

64 Elizabeth Blackwell Street
Suite C
Geneva, NY 14456

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081219000113 NY Practitioner - Qualified Audiologist 1850453291 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Finger Lakes Hearing Center IncGroup PAC ID 0345205050, 5 clinicians

Practice addresses (Care Compare)

64 Elizabeth Blackwell St
C
Geneva, NY 14456-3403
Phone (315) 828-6989

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14000026917NYMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Finger Lakes Hearing Center Inc Audiologist CurrentSince Aug 6, 2008 Accepting new patients
Audiologic Solutions Inc Past Accepting new patients

Locations

400 S Main St
Ste 101
Canandaigua, NY 14424
Phone (585) 396-1120

64 Elizabeth Blackwell St
Ste A
Geneva, NY 14456
Phone (315) 789-2153

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": "1218412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351728000000",
    "number": "1336395367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 ELIZABETH BLACKWELL STREET",
            "address_2": "SUITE C",
            "city": "GENEVA",
            "state": "NY",
            "postal_code": "14456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 ELIZABETH BLACKWEL STREET",
            "address_2": "SUITE C",
            "city": "GENEVA",
            "state": "NY",
            "postal_code": "14456",
            "telephone_number": "315-789-3595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRY",
        "first_name": "TODD",
        "middle_name": "A.",
        "name_prefix": "Mr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-11",
        "last_updated": "2012-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "002227",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NY",
            "license": "14000026917",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2012; 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.