Active NPI
Eileen Nancy Nagy, AU.D.
- Audiologist
- Albany, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 002623
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002623 | Other | NY | AUDIOLOGIST LICENSE |
Other names 1
- Eileen Nancy Matuck
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002623 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Audiology Services Company USA, LLC | Current | Accepting new patients | |
| Audiology Services Company USA, LLC | Audiologist | Current | Accepting new patients |
| Audiology Services Company USA, LLC | Current | 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.
-
- Hearing and Speech Clinic/Center
- Somerset, NJ
- NPI 1033585302
Audiologist, NY
-
- Hearing and Speech Clinic/Center
- Castleton, NY
- NPI 1336974963
-
- Hearing and Speech Clinic/Center
- Melbourne, FL
- NPI 1902318108
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.