Active NPI
Judy J. Schaeffler, M.S. AUDIOLOGY
- Specialist
- Pine City, NY
National Provider Identifier
1376565697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 1554 Mount Zoar Rd
Pine City, NY 14871-9545 - Phone
- (607) 734-2104
- Fax
- (607) 733-9558
- NPI assigned
- Jul 24, 2006
- Last updated
- Mar 12, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | NY | Primary | |
| Audiologist | 231H00000X | 000208-1 | NY |
Addresses
Primary practice location
1554 Mount Zoar Rd
Pine City, NY 14871-9545
Mailing address
1554 Mount Zoar Rd
Pine City, NY 14871-9545
Phone (607) 734-2104
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000208-1 | NY | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mathieu Audiology Services PC | Audiologist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Audiologist
- Elmira Heights, NY
- NPI 1164598496
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363046400000",
"number": "1376565697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1554 MOUNT ZOAR RD",
"city": "PINE CITY",
"state": "NY",
"postal_code": "148719545",
"telephone_number": "607-734-2104",
"fax_number": "607-733-9558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1554 MOUNT ZOAR RD",
"city": "PINE CITY",
"state": "NY",
"postal_code": "148719545",
"telephone_number": "607-734-2104",
"fax_number": "607-733-9558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHAEFFLER",
"first_name": "JUDY",
"middle_name": "J.",
"name_prefix": "Ms.",
"credential": "M.S. AUDIOLOGY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-24",
"last_updated": "2013-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": null,
"primary": true
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NY",
"license": "000208-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pine City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.