Individual provider Active NPI

Alexandra Nicole Gartner, AUD.

  • Audiologist
  • Clifton Park, NY
National Provider Identifier
1366938805
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
002835-01 Issued in NY
Practice address
950 Route 146 Ste 200
Clifton Park, NY 12065-3667
Phone
(518) 383-4273
Fax
(518) 383-4274
NPI assigned
Jul 9, 2018
Last updated
Jun 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 002835-01 NY Primary
Audiologist-Hearing Aid Fitter 237600000X 14000056375 NY

Addresses

Primary practice location

950 Route 146 Ste 200
Clifton Park, NY 12065-3667

Mailing address

950 Route 146 Ste 200
Clifton Park, NY 12065-3667
Phone (518) 383-4273

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190107000558 NY Practitioner - Qualified Audiologist 5698011005 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
Kawola-McAdam AudiologyGroup PAC ID 0143695262, 6 clinicians

Practice addresses (Care Compare)

2317 Balltown Rd
Suite 3
Schenectady, NY 12309-2339
Phone (518) 527-2642

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002835-01NYMDAudiologist
14000056375NYMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Kawola-McAdam Audiology Audiologist CurrentSince Jan 2, 2024 Accepting new patients
Audiology Endeavors, PC Audiologist-Hearing Aid Fitter PastSince Nov 1, 2003 Accepting new patients

Locations

950 Route 146
Ste 200
Clifton Park, NY 12065
Phone (518) 383-4273

952 Route 146
Ste 2
Clifton Park, NY 12065
Phone (518) 383-4273

2317 Balltown Rd
Ste 104
Schenectady, NY 12309
Phone (518) 381-4650

2317 Balltown Rd
Ste 3
Schenectady, NY 12309
Phone (518) 527-2642

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1531094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1366938805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 ROUTE 146 STE 200",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653667",
            "telephone_number": "518-383-4273",
            "fax_number": "518-383-4274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 ROUTE 146 STE 200",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653667",
            "telephone_number": "518-383-4273",
            "fax_number": "518-383-4274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARTNER",
        "first_name": "ALEXANDRA",
        "middle_name": "NICOLE",
        "credential": "AUD.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-09",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "002835-01",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NY",
            "license": "14000056375",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; 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.