Active NPI
Susan Ann Terranova Roberts, AUD
- Audiologist
- Buffalo, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 0009191
- Practice address
- 52 Biomedical Education Building
Buffalo, NY 14214-8016 - Phone
- (716) 829-3980
- Fax
- (716) 829-3974
- NPI assigned
- Dec 20, 2005
- Last updated
- Jul 13, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 0009191 | NY | Primary |
Addresses
Primary practice location
52 Biomedical Education Building
Buffalo, NY 14214-8016
Mailing address
52 Biomedical Education Building
Buffalo, NY 14214-8016
Phone (716) 829-3980
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9210117 | Other | INDEPENDENT HEALTH | |
| AA1308 | Other | GROUP | |
| 00011240404 | Other | UNIVERA GROUP | |
| 000576077003 | Other | BC CB ADV SB |
Other names 1
- Susan Ann Terranova
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2900 Delaware Ave
Kenmore, NY 14217-2309
Phone (716) 871-9915
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0009191 | NY | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diversified Services for Occupational Therapy, Physical Therapy, Speec | Current | Accepting new patients | |
| Diversified Services for Occupational Therapy, Physical Ther | Audiologist | Current | Accepting new patients |
Locations
2900 Delaware Ave
Kenmore, NY 14217
Phone (716) 262-9791
5883 Snyder Dr
Lockport, NY 14094
Phone (716) 433-8751
17 Limestone Dr
Ste 5
Williamsville, NY 14221
Phone (716) 362-1552
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Diversified Services, LLC
- Audiologist
- Kenmore, NY
- NPI 1447283882
-
- Physical Medicine & Rehabilitation Physician
- Kenmore, NY
- NPI 1417576547
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1417933532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "52 BIOMEDICAL EDUCATION BUILDING",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142148016",
"telephone_number": "716-829-3980",
"fax_number": "716-829-3974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "52 BIOMEDICAL EDUCATION BUILDING",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142148016",
"telephone_number": "716-829-3980",
"fax_number": "716-829-3974"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "SUSAN",
"middle_name": "ANN TERRANOVA",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-20",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NY",
"license": "0009191",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENT HEALTH",
"identifier": "9210117",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP",
"identifier": "AA1308",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA GROUP",
"identifier": "00011240404",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC CB ADV SB",
"identifier": "000576077003",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SUSAN",
"last_name": "TERRANOVA",
"middle_name": "ANN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.