Individual provider Active NPI

Peter Anthony Wasiuk, AU.D., PH.D.

  • Audiologist
  • Farmington, CT
National Provider Identifier
1346059565
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
000732 Issued in CT
Practice address
40 Stanford Dr
Farmington, CT 06032-2454
Phone
(860) 640-4455
NPI assigned
Jan 2, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 000732 CT Primary

Addresses

Primary practice location

40 Stanford Dr
Farmington, CT 06032-2454

Mailing address

438 Whitney Ave Apt 9
New Haven, CT 06511-2349
Phone (603) 944-2874

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250205000691 CT Practitioner - Qualified Audiologist 7810427945 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ear Specialty Group of Connecticut PCGroup PAC ID 0446502686, 7 clinicians

Practice addresses (Care Compare)

40 Stanford Dr
Farmington, CT 06032-2454
Phone (860) 640-4455

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
000732CTMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ear Specialty Group of Connecticut PC Audiologist CurrentSince Jan 1, 2025 Accepting new patients

Locations

40 Stanford Dr
Farmington, CT 06032
Phone (860) 640-4455

Organizations & group practices 1

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": "1735776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1346059565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "438 WHITNEY AVE APT 9",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065112349",
            "telephone_number": "603-944-2874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 STANFORD DR",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060322454",
            "telephone_number": "860-640-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASIUK",
        "first_name": "PETER",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "AU.D., PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-01-02",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CT",
            "license": "000732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; 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.