Mary E. Goodacre, M.A., CCCA

Primary specialty

AudiologistTaxonomy code 231H00000X

License

603 Issued in NY

Practice address

11 Ralph PL Ste 308
Staten Island, NY 10304-4419

Phone

(718) 981-6020

Fax

(718) 876-8370

NPI assigned

Oct 31, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Qualified Audiologist

Education

Pennsylvania College of Optometry, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Staten Island Audiological Services, P.C.Group PAC ID 6800067612, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Staten Island Audiological Services, P.C.

  • Audiologist
  • Staten Island, NY
  • NPI 1922380971
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1467538553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 RALPH PL STE 308",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103044419",
            "telephone_number": "718-981-6020",
            "fax_number": "718-876-8370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 RALPH PL STE 308",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103044419",
            "telephone_number": "718-981-6020",
            "fax_number": "718-876-8370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODACRE",
        "first_name": "MARY",
        "middle_name": "E.",
        "name_prefix": "Mrs.",
        "credential": "M.A., CCCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02148901",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Good Care PT PC
• Good Faith Adult Day Care Inc
• Good Faith Social Daycare
• Good Life Advancement and Development Inc
• Good Looking Optical Corp
• Karen Goode
• Mark Goodenough, DDS, MD
• Christina Marie Goodheart, MA, CCC-SLP
• Goodkidneys Medical, P.C.
• Michelle J Goodman Frohlich, D.P.T.

• Audiologist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Audiologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.