Individual provider Active NPI

Michelle Paciorek, M.A.

  • Audiologist
  • Syraucse, NY
National Provider Identifier
1336399039
Registry record updated Sep 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
001548-1 Issued in NY
Practice address
Broad Rd S 2D
Community General Hospital Pob
Syraucse, NY 13215
Phone
(315) 492-5755
Fax
(315) 492-5246
NPI assigned
Sep 30, 2008
Last updated
Sep 30, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 001548-1 NY Primary

Addresses

Primary practice location

Broad Rd S 2D
Community General Hospital Pob
Syraucse, NY 13215

Mailing address

PO Box 4738
Syracuse, NY 13221-4738
Phone (315) 464-2237

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081113000188 NY Practitioner - Qualified Audiologist 3173682663 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1993
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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
001548NYMDAcupuncturist
001548-1NYMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Finger Lakes Hearing Center Inc Audiologist CurrentSince Nov 12, 2024 Accepting new patients
Michael J Paciorek MD PC CurrentSince Oct 1, 2008 Accepting new patients

Locations

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

4900 Broad Rd
Ste 2D
Syracuse, NY 13215
Phone (315) 255-0606

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1222732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222732800000",
    "number": "1336399039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4738",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132214738",
            "telephone_number": "315-464-2237",
            "fax_number": "315-464-3235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BROAD RD S 2D",
            "address_2": "COMMUNITY GENERAL HOSPITAL POB",
            "city": "SYRAUCSE",
            "state": "NY",
            "postal_code": "13215",
            "telephone_number": "315-492-5755",
            "fax_number": "315-492-5246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACIOREK",
        "first_name": "MICHELLE",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-30",
        "last_updated": "2008-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "001548-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2008; 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.