Organization Active NPI

James Pronesti Audiology Consultant PLLC

  • Hearing Aid Equipment
  • Brooklyn, NY
National Provider Identifier
1386040053
Registry record updated Apr 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Aid EquipmentTaxonomy code 332S00000X
License
14000030167 Issued in NY
Legal business name
JAMES PRONESTI AUDIOLOGY CONSULTANT PLLC
Practice address
9402 Church Ave
Box 121058
Brooklyn, NY 11212-1679
Phone
(203) 997-6490
Fax
(203) 487-4490
NPI assigned
Nov 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2017

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

Authorized official

Name
Mr. James Vincent Pronesti, AUDNPI 1942472535
Title
Audiologist
Phone
(203) 997-6490

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X 000466 CT
Hearing Aid Equipment 332S00000X 14000030167 NY Primary

Addresses

Primary practice location

9402 Church Ave
Box 121058
Brooklyn, NY 11212-1679

Mailing address

9402 Church Ave
Box 121058
Brooklyn, NY 11212-1679
Phone (347) 525-4076

Other identifiers 4

IdentifierTypeStateIssuer
000466OtherCTCT LICENSE
002171OtherNYNYS LICENSE
170597MedicaidCT
03821987MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150327001987 CT Part B Supplier - Clinic/Group Practice 4486971603 Receives reassigned benefits from 1 practitioner
Practice locations: Stamford, CT
O20170504000903 NY Part B Supplier - Clinic/Group Practice 4486971603 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

144 Morgan St
Ste 7
Stamford, CT 06905
Phone (203) 325-8411

144 Morgan St
Ste 9
Stamford, CT 06905
Phone (203) 997-6490

1 Brookdale Plz
Fl 2
Brooklyn, NY 11212
Phone (718) 342-3937

9402 Church Ave
Unit 121058
Brooklyn, NY 11212
Phone (203) 997-6490

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1415318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493164800000",
    "number": "1386040053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9402 CHURCH AVE",
            "address_2": "BOX 121058",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112121679",
            "telephone_number": "347-525-4076",
            "fax_number": "203-487-4490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9402 CHURCH AVE",
            "address_2": "BOX 121058",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112121679",
            "telephone_number": "203-997-6490",
            "fax_number": "203-487-4490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES PRONESTI AUDIOLOGY CONSULTANT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-07",
        "last_updated": "2017-04-26",
        "status": "A",
        "authorized_official_last_name": "PRONESTI",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "VINCENT",
        "authorized_official_title_or_position": "AUDIOLOGIST",
        "authorized_official_telephone_number": "203-997-6490",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "CT",
            "license": "000466",
            "primary": false
        },
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "NY",
            "license": "14000030167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CT LICENSE",
            "identifier": "000466",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS LICENSE",
            "identifier": "002171",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170597",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03821987",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2017; 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.