Organization Active NPI

Dominick Servedio, Au.D, P.C.

  • Audiologist
  • New York, NY
National Provider Identifier
1417122888
Registry record updated Jun 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1080 Issued in NY
Legal business name
DOMINICK SERVEDIO, AU.D, P.C.
Practice address
200 W 57TH St
Suite 910
New York, NY 10019-3211
Phone
(917) 441-6094
Fax
(917) 441-6102
NPI assigned
Apr 28, 2008
Last updated
Jun 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2008

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

Authorized official

Name
Dominick Servedio, AU.DNPI 1033112974
Title
Audiologist/ Owner
Phone
(917) 441-6094

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X 1080 NY Primary

Addresses

Primary practice location

200 W 57TH St
Suite 910
New York, NY 10019-3211

Mailing address

200 W 57TH St
Suite 910
New York, NY 10019-3211
Phone (917) 441-6094

Other identifiers 11

IdentifierTypeStateIssuer
M75911OtherNYEMPIRE BLUE CROSS BLUE SHEILD
241110OtherNYUNITED HEALTH CARE
P12043249OtherNYMULTIPLAN
174255OtherNYELDERPLAN
5C6011OtherNYHEALTHNET
7103327OtherNYCIGNA
SD1080OtherNYATLANTIS
P3028736OtherNYOXFORD
160570POtherNYHIP
1000048259OtherNYAFFINITY
4899667OtherNYGHI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213056000000",
    "number": "1417122888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W 57TH ST",
            "address_2": "SUITE 910",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100193211",
            "telephone_number": "917-441-6094",
            "fax_number": "917-441-6102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W 57TH ST",
            "address_2": "SUITE 910",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100193211",
            "telephone_number": "917-441-6094",
            "fax_number": "917-441-6102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINICK SERVEDIO, AU.D, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-28",
        "last_updated": "2008-06-10",
        "status": "A",
        "authorized_official_last_name": "SERVEDIO",
        "authorized_official_first_name": "DOMINICK",
        "authorized_official_title_or_position": "AUDIOLOGIST/ OWNER",
        "authorized_official_telephone_number": "917-441-6094",
        "authorized_official_credential": "AU.D"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "NY",
            "license": "1080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS BLUE SHEILD",
            "identifier": "M75911",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "241110",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN",
            "identifier": "P12043249",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ELDERPLAN",
            "identifier": "174255",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "5C6011",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7103327",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATLANTIS",
            "identifier": "SD1080",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P3028736",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "160570P",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AFFINITY",
            "identifier": "1000048259",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "4899667",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.