Individual provider Active NPI

Kristin Anne Chiodo, AUD

  • Audiologist
  • Plainview, NY
National Provider Identifier
1407023807
Registry record updated Apr 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
002191 Issued in NY
Practice address
875 Old Country Rd
Suite 200
Plainview, NY 11803-4942
Phone
(516) 931-5552
Fax
(516) 931-6563
NPI assigned
May 14, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 002191 NY Primary

Addresses

Primary practice location

875 Old Country Rd
Suite 200
Plainview, NY 11803-4942

Mailing address

875 Old Country Rd
Suite 200
Plainview, NY 11803-4942
Phone (516) 931-5552

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kchiodo444015@nyumc.direct-ci.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080916000104 NY Practitioner - Qualified Audiologist 8921175050 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

120 Mineola Blvd
Suite 600
Mineola, NY 11501-4074
Phone (516) 663-9500

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
002191NYMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince May 1, 2021 Accepting new patients
New York University CurrentSince May 1, 2021 Accepting new patients
Personal Health Imaging, PLLC Past Accepting new patients
Evergreen Ear, Nose & Throat Surgery P.C. Past Accepting new patients

Locations

877 Stewart Ave
Ste 25
Garden City, NY 11530
Phone (516) 222-0404

1300 Franklin Ave
Ste ML6
Garden City, NY 11530
Phone (516) 353-1900

120 Mineola Blvd
Ste 600
Mineola, NY 11501
Phone (516) 663-4525

875 Old Country Rd
Ste 200
Plainview, NY 11803
Phone (516) 931-5552

875 Old Country Rd
Plainview, NY 11803
Phone (516) 433-2424

13303 Jamaica Ave
#13292
Richmond Hill, NY 11418
Phone (718) 291-3276

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1407023807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 OLD COUNTRY RD",
            "address_2": "SUITE 200",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118034942",
            "telephone_number": "516-931-5552",
            "fax_number": "516-931-6563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 OLD COUNTRY RD",
            "address_2": "SUITE 200",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118034942",
            "telephone_number": "516-931-5552",
            "fax_number": "516-931-6563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIODO",
        "first_name": "KRISTIN",
        "middle_name": "ANNE",
        "name_prefix": "Miss",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-14",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "002191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kchiodo444015@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "875 Old Country Rd",
            "address_2": "Suite 200",
            "city": "Plainview",
            "state": "NY",
            "country_code": "US",
            "postal_code": "118034942",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plainview, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; 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.