Individual provider Active NPI

Eileen Nancy Nagy, AU.D.

  • Audiologist
  • Albany, NY
National Provider Identifier
1366813818
Registry record updated Dec 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
002623 Issued in NY
Practice address
14 Columbia Circle
Suite 202
Albany, NY 12203
Phone
(518) 690-2060
NPI assigned
Oct 9, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 002623 NY Primary

Addresses

Primary practice location

14 Columbia Circle
Suite 202
Albany, NY 12203

Mailing address

14 Columbia Circle
Suite 202
Albany, NY 12203

Other identifiers 1

IdentifierTypeStateIssuer
002623OtherNYAUDIOLOGIST LICENSE

Other names 1

  • Eileen Nancy Matuck Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151230000751 NY Practitioner - Qualified Audiologist 3779885298 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002623NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology Services Company USA, LLC CurrentSince Sep 1, 2018 Accepting new patients
Audiology Services Company USA, LLC Audiologist Current Accepting new patients
Audiology Services Company USA, LLC CurrentSince Sep 1, 2018 Accepting new patients

Locations

2501 Cottontail Ln
Somerset, NJ 08873
Phone (732) 529-7120

14 Columbia Cir
Ste 202
Albany, NY 12203
Phone (518) 690-2060

81 Miller Rd
Ste 700
Castleton on Hudson, NY 12033
Phone (518) 512-5181

240 W Seneca St
Ste 3
Manlius, NY 13104
Phone (315) 682-2025

414 Maple Ave
Ste 800
Saratoga Springs, NY 12866
Phone (518) 581-9006

1001 James St
Syracuse, NY 13203
Phone (315) 428-0016

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": "1444348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544400000000",
    "number": "1366813818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 COLUMBIA CIRCLE",
            "address_2": "SUITE 202",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "12203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 COLUMBIA CIRCLE",
            "address_2": "SUITE 202",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "12203",
            "telephone_number": "518-690-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGY",
        "first_name": "EILEEN",
        "middle_name": "NANCY",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-09",
        "last_updated": "2018-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "002623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AUDIOLOGIST LICENSE",
            "identifier": "002623",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EILEEN",
            "last_name": "MATUCK",
            "middle_name": "NANCY",
            "credential": "AU.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2018; 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.