Mindy Cacciatore

Primary specialty

AudiologistTaxonomy code 231H00000X

License

001633 Issued in NY

Practice address

5115 Beach Channel Dr
Far Rockaway, NY 11691-1042

Phone

(718) 734-2779

NPI assigned

Oct 8, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Otolaryngology, PCGroup PAC ID 6709798903, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Advanced Otolaryngology, PC

  • Otolaryngology Physician
  • Garden City, NY
  • NPI 1134176662
  Medicare reassignment Care Compare group
• United Cerebral Palsy Association of Nassau County, Inc.

  • Clinic/Center
  • Roosevelt, NY
  • NPI 1720009715
  Medicare reassignment NPD

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

{
    "created_epoch": "1254960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254960000000",
    "number": "1336474337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 HAMPTON WAY",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115665025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5115 BEACH CHANNEL DR",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116911042",
            "telephone_number": "718-734-2779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CACCIATORE",
        "first_name": "MINDY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-08",
        "last_updated": "2009-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "001633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adena Burnstein, M.D.
• Perel Ethel Bursky-Tammam, MD
• Boris Byalik, D.O.
• Christopher Byrne, M.S.
• Mary Byrnes, LCSW
• Julmercivety Cain, LPN
• Anna Calderon, MS.PT
• Kaela Caldwell
• Latoya N Campbell Reid, BSN, RN
• Christina Jody-Ann Campbell-Harkness

• Audiologist in Far Rockaway, NY
• Providers in Far Rockaway, NY by specialty
• Audiologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2009; 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.