Individual provider Active NPI

Robert N. Ferguson, MA, CCC

  • Specialist
  • Troy, NY
National Provider Identifier
1568521771
Registry record updated Oct 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
000315 Issued in NY
Practice address
2001 5TH Ave
Advanced Audiology Services
Troy, NY 12180-3340
Phone
(518) 270-5802
Fax
(518) 270-5807
NPI assigned
Dec 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 000315 NY Primary

Addresses

Primary practice location

2001 5TH Ave
Advanced Audiology Services
Troy, NY 12180-3340

Mailing address

2 Chestnut Hill Rd S
Loudonville, NY 12211-1608
Phone (518) 434-8174

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
000315NYMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192060800000",
    "number": "1568521771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CHESTNUT HILL RD S",
            "city": "LOUDONVILLE",
            "state": "NY",
            "postal_code": "122111608",
            "telephone_number": "518-434-8174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 5TH AVE",
            "address_2": "ADVANCED AUDIOLOGY SERVICES",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121803340",
            "telephone_number": "518-270-5802",
            "fax_number": "518-270-5807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "ROBERT",
        "middle_name": "N.",
        "name_prefix": "Mr.",
        "credential": "MA, CCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "000315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.