Individual provider Active NPI

Stuart Motechin, M.S. CCC-A

  • Audiologist-Hearing Aid Fitter
  • Brooklyn, NY
National Provider Identifier
1366590010
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
1578-1 Issued in NY
Practice address
134 Atlantic Ave
Brooklyn, NY 11201-5502
Phone
(718) 780-1498
Fax
(718) 780-2819
NPI assigned
Jan 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 1578-1 NY Primary

Addresses

Primary practice location

134 Atlantic Ave
Brooklyn, NY 11201-5502

Mailing address

330 Church Ave
Woodmere, NY 11598-2816
Phone (516) 241-9575

Other identifiers 1

IdentifierTypeStateIssuer
01780390MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091223000303 NY Practitioner - Qualified Audiologist 9133269129 Reassigns benefits to 2 organizations
Practice locations: Cedarhurst, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1578-1NYMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Faculty Practice Plan CurrentSince Nov 14, 2018 Accepting new patients
Maimonides Medical Center Division of Otolaryngology FPP CurrentSince Nov 14, 2018 Accepting new patients
The New York Otolaryngology Group, PC PastSince Mar 10, 2009 Accepting new patients

Locations

919 49th St
Brooklyn, NY 11219
Phone (718) 283-6260

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

2270 Kimball St
Ste 214
Brooklyn, NY 11234
Phone (718) 377-7575

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Organizations & group practices 3

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1366590010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 CHURCH AVE",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115982816",
            "telephone_number": "516-241-9575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 ATLANTIC AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015502",
            "telephone_number": "718-780-1498",
            "fax_number": "718-780-2819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTECHIN",
        "first_name": "STUART",
        "name_prefix": "Mr.",
        "credential": "M.S. CCC-A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NY",
            "license": "1578-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01780390",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.