Susan Tracey Peckins, MA, CCC-A

Primary specialty

AudiologistTaxonomy code 231H00000X

License

989-1 Issued in NY

Practice address

47 Cedar St
Kings Park, NY 11754-2509

Phone

(631) 269-3426

NPI assigned

Apr 1, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H3359

Interoperability endpoints

• Direct secure messaging: susanpeckins@nslijmedgr.allscriptsdirect.net

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.

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  Medicare reassignment NPD

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207008000000",
    "number": "1467624312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 LAKEVILLE RD",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421121",
            "telephone_number": "718-470-8910",
            "fax_number": "718-347-8241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 CEDAR ST",
            "city": "KINGS PARK",
            "state": "NY",
            "postal_code": "117542509",
            "telephone_number": "631-269-3426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECKINS",
        "first_name": "SUSAN",
        "middle_name": "TRACEY",
        "name_prefix": "Ms.",
        "credential": "MA, CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-01",
        "last_updated": "2008-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "989-1",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NY",
            "license": "14000005288",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AUDIOLOGY LICENCE",
            "identifier": "989-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bethzaida Crisanto Palma-Aquino, MD
• Chris Pandolfi, P.T.
• Rachel Beth Parrotta, DPT
• Tahmina Parveen
• Path of Wellness Massage Therapy
• Jordan Peixoto
• Jennifer Petito, R.N.
• Physi-Care PT PC
• Denise Piacentino, PT
• Debra Pincus, MD

• Audiologist in Kings Park, NY
• Providers in Kings Park, NY by specialty
• Audiologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.