Organization Active NPI

GN Audiology PLLC

  • Hearing and Speech Clinic/Center
  • Massapequa Park, NY
National Provider Identifier
1366990848
Registry record updated Nov 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
License
15000026480 Issued in NY
Legal business name
GN AUDIOLOGY PLLC
Practice address
4770 Sunrise Hwy Ste 106
Massapequa Park, NY 11762-2911
Phone
(516) 261-9398
Fax
(516) 261-9399
NPI assigned
Sep 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2019

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

Authorized official

Name
Kostas Neoclis
Title
Owner
Phone
(516) 261-9398

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X 15000026480 NY Primary

Addresses

Primary practice location

4770 Sunrise Hwy Ste 106
Massapequa Park, NY 11762-2911

Mailing address

4117 Hempstead Tpke
Bethpage, NY 11714-5605
Phone (516) 261-9398

National Provider Directory

National Provider Directory

Locations

4117 Hempstead Tpke
Bethpage, NY 11714

NPI Registry JSON

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

{
    "created_epoch": "1473811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573603200000",
    "number": "1366990848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4117 HEMPSTEAD TPKE",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117145605",
            "telephone_number": "516-261-9398",
            "fax_number": "516-261-9399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4770 SUNRISE HWY STE 106",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117622911",
            "telephone_number": "516-261-9398",
            "fax_number": "516-261-9399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GN AUDIOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-14",
        "last_updated": "2019-11-13",
        "status": "A",
        "authorized_official_last_name": "NEOCLIS",
        "authorized_official_first_name": "KOSTAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-261-9398"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "NY",
            "license": "15000026480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Massapequa Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.