Individual provider Active NPI

Audrey Ann Pierce, MD

  • Anatomic Pathology Physician
  • Hicksville, NY
National Provider Identifier
1407027204
Registry record updated Mar 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology PhysicianTaxonomy code 207ZP0101X
License
257379 Issued in NY
Practice address
250 Miller Place
Sunrise Medical Labs.
Hicksville, NY 11801-1826
Phone
(631) 435-1515
NPI assigned
Mar 19, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology Physician 207ZP0101X 257379 NY Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

250 Miller Place
Sunrise Medical Labs.
Hicksville, NY 11801-1826

Mailing address

250 Miller Place
Sunrise Medical Labs.
Hicksville, NY 11801-1826
Phone (631) 435-1515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241204002839 MA Practitioner - Pathology 1254867930 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
257379NYMDAnatomic Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Pathologists, LLC Anatomic Pathology CurrentSince Oct 1, 2024 Accepting new patients
University Pathologists Diagnostics LLC PastSince Apr 20, 2021 Accepting new patients

Locations

363 Highland Ave
Fall River, MA 02720
Phone (508) 679-7052

67 Slades Ferry Ave
Ste 6720
Somerset, MA 02726
Phone (401) 921-0252

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299456000000",
    "number": "1407027204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 MILLER PLACE",
            "address_2": "SUNRISE MEDICAL LABS.",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118011826",
            "telephone_number": "631-435-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 MILLER PLACE",
            "address_2": "SUNRISE MEDICAL LABS.",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118011826",
            "telephone_number": "631-435-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "AUDREY",
        "middle_name": "ANN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-19",
        "last_updated": "2011-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "NY",
            "license": "257379",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hicksville, NY

Sources for this page

Verify at the official NPI Registry.