Individual provider Active NPI

Macee O'Kay, AU.D.

  • Audiologist
  • Syracuse, NY
National Provider Identifier
1407335292
Registry record updated Jun 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
0028251 Issued in NY
Practice address
621 Skytop Rd Ste 1200
Syracuse, NY 13244-4416
Phone
(315) 443-4485
NPI assigned
Aug 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 0028251 NY Primary

Addresses

Primary practice location

621 Skytop Rd Ste 1200
Syracuse, NY 13244-4416

Mailing address

621 Skytop Rd Ste 1200
Syracuse, NY 13244-4416
Phone (315) 443-4485

Other practice location 1

53-59 Public Sq Ste 202
Watertown, NY 13601-2656
Phone (315) 786-3225

Other names 1

  • Macee Bonoffski Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190402000662 NY Practitioner - Qualified Audiologist 5496096471 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Coast Audiology and Physical Therapy PLLCGroup PAC ID 8820488547, 14 clinicians

Practice addresses (Care Compare)

53 -59 Public SQ
Suite 202
Watertown, NY 13601-2674
Phone (315) 786-3225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0028251NYMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
East Coast Audiology and Physical Therapy, PLLC Audiologist CurrentSince Jan 1, 2022 Accepting new patients
Syracuse University Audiologist CurrentSince Apr 1, 2019 Accepting new patients
University Otolaryngology Associates of Central New York, LLP CurrentSince Apr 1, 2019 Accepting new patients
Syracuse University CurrentSince Apr 1, 2019 Accepting new patients

Locations

544 Towne Dr
Fayetteville, NY 13066
Phone (315) 637-8800

621 Skytop Rd
Ste 1200
Syracuse, NY 13244
Phone (315) 443-4301

621 Skytop Rd
Syracuse, NY 13244
Phone (315) 443-4485

750 E Adams St
Syracuse, NY 13210
Phone (315) 464-4363

53-59 Public Sq
Ste 202
Watertown, NY 13601
Phone (315) 786-3225

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": "1534118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590969600000",
    "number": "1407335292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 SKYTOP RD STE 1200",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132444416",
            "telephone_number": "315-443-4485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 SKYTOP RD STE 1200",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132444416",
            "telephone_number": "315-443-4485"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "53-59 Public Sq Ste 202",
            "address_purpose": "LOCATION",
            "city": "Watertown",
            "state": "NY",
            "postal_code": "136012656",
            "country_code": "US",
            "telephone_number": "315-786-3225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'KAY",
        "first_name": "MACEE",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-13",
        "last_updated": "2020-06-01",
        "certification_date": "2020-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "0028251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MACEE",
            "last_name": "BONOFFSKI",
            "credential": "AU.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2020; 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.