Active NPI
Meredith Ann Moore, AU.D., CCC-A
- Audiologist
- Garden City, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 002076-1
- Practice address
- 975 Franklin Ave
Suite 203B
Garden City, NY 11530-2921 - Phone
- (516) 248-0068
- NPI assigned
- Apr 10, 2008
- 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 | 002076-1 | NY | Primary |
Addresses
Primary practice location
975 Franklin Ave
Suite 203B
Garden City, NY 11530-2921
Mailing address
975 Franklin Ave
Suite 203B
Garden City, NY 11530-2921
Phone (516) 248-0068
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, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1100 Franklin Ave
Suite 300
Garden City, NY 11530-1601
Phone (516) 248-0068
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002076-1 | NY | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ear Works Audiology PC | Audiologist | Current | Accepting new patients |
| ENT and Allergy Associates LLP | Past | Accepting new patients |
Locations
400 W Main St
Ste 342
Babylon, NY 11702
4045 Hempstead Tpke
Ste 202
Bethpage, NY 11714
Phone (516) 396-1027
6080 Jericho Tpke
Ste 208
Commack, NY 11725
Phone (631) 486-9430
1100 Franklin Ave
Ste 300
Garden City, NY 11530
Phone (516) 248-0068
225 Community Dr
Ste 120
Great Neck, NY 11021
Phone (516) 466-0206
57 Southern Blvd
Ste 4
Nesconset, NY 11767
Phone (631) 238-5785
2 Ohio Dr
Ste 200
New Hyde Park, NY 11042
Phone (516) 563-7066
1500 Route 112
Bldg 6H
Port Jeff Sta, NY 11776
485 Underhill Blvd
Ste 305
Syosset, NY 11791
5964 Route 25A
Wading River, NY 11792
Phone (631) 886-2770
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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 and National Provider Directory roles.
-
- Audiologist
- Nesconset, NY
- NPI 1851584841
-
- Otolaryngology Physician
- Tarrytown, NY
- NPI 1376598326
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235952000000",
"number": "1497928451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "975 FRANKLIN AVE",
"address_2": "SUITE 203B",
"city": "GARDEN CITY",
"state": "NY",
"postal_code": "115302921",
"telephone_number": "516-248-0068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "975 FRANKLIN AVE",
"address_2": "SUITE 203B",
"city": "GARDEN CITY",
"state": "NY",
"postal_code": "115302921",
"telephone_number": "516-248-0068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "MEREDITH",
"middle_name": "ANN",
"credential": "AU.D., CCC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-10",
"last_updated": "2009-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NY",
"license": "002076-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Garden City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2009; 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.