Active NPI
Dominick Servedio, Au.D, P.C.
- Audiologist
- New York, NY
National Provider Identifier
1417122888
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 1080
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dominick Servedio, AU.D
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M75911 | Other | NY | EMPIRE BLUE CROSS BLUE SHEILD |
| 241110 | Other | NY | UNITED HEALTH CARE |
| P12043249 | Other | NY | MULTIPLAN |
| 174255 | Other | NY | ELDERPLAN |
| 5C6011 | Other | NY | HEALTHNET |
| 7103327 | Other | NY | CIGNA |
| SD1080 | Other | NY | ATLANTIS |
| P3028736 | Other | NY | OXFORD |
| 160570P | Other | NY | HIP |
| 1000048259 | Other | NY | AFFINITY |
| 4899667 | Other | NY | GHI |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Assistive Technology Practitioner Audiologist
- New York, NY
- NPI 1033112974
-
- Audiologist
- New York, NY
- NPI 1881228658
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.