Active NPI
Andrew Kovalovich
- Audiologist
- Schenectady, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 001079
- Practice address
- 624 McClellan St Ste G01
Schenectady, NY 12304-1024 - Phone
- (518) 347-5655
- Fax
- (518) 347-5656
- NPI assigned
- Aug 28, 2008
- Sex
- Male
- 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 | 001079 | NY | Primary |
Addresses
Primary practice location
624 McClellan St Ste G01
Schenectady, NY 12304-1024
Mailing address
624 McClellan St Ste G01
Schenectady, NY 12304-1024
Phone (518) 347-5655
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3019900 | Other | NY | MVP |
| 03686028 | Medicaid | NY | |
| 000494921003 | Other | NY | BLUE SHIELD OF NENY |
| 200245431 | Other | NY | CDPHP |
| M93091 | Other | NY | EMPIRE BLUE CROSS |
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, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Albany Medical College
Practice addresses (Care Compare)
1769 Union St
Schenectady, NY 12309-6311
Phone (518) 264-4768
1783 Route 9
Halfmoon, NY 12065-2467
Phone (518) 262-5575
43 New Scotland Ave
Albany, NY 12208-3412
Phone (518) 262-3277
47 New Scotland Ave
Albany, NY 12208-3412
Phone (518) 262-5633
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001079 | NY | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ellis Hospital | Current | Accepting new patients | |
| Albany Medical College | Audiologist | Current | Accepting new patients |
| Albany Medical College | Current | Accepting new patients | |
| Albany Medical College | Current | Accepting new patients | |
| Albany Medical College | Current | Accepting new patients | |
| Albany Medical College | Current | Accepting new patients | |
| Albany Medical College | Current | Accepting new patients |
Locations
47 New Scotland Ave
#61
Albany, NY 12208
Phone (518) 262-5791
47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773
35 Hackett Blvd
#1
Albany, NY 12208
Phone (518) 262-4535
624 McClellan St
Ste G01
Schenectady, NY 12304
Phone (518) 347-5655
1769 Union St
Ste 1
Schenectady, NY 12309
Phone (518) 264-4733
1101 Nott St
Schenectady, NY 12308
Phone (518) 243-1916
6 Executive Park Dr
Stuyvesant Plaza, NY 12203
Phone (518) 482-9111
Organizations & group practices 7
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.
-
- Allergy & Immunology Physician
- Albany, NY
- NPI 1497921688
-
- General Acute Care Hospital
- Schenectady, NY
- NPI 1487644993
-
- Urgent Care Clinic/Center
- Albany, NY
- NPI 1386038925
-
- Allergy & Immunology Physician
- Albany, NY
- NPI 1386689248
-
- Physical Medicine & Rehabilitation Physician
- Albany, NY
- NPI 1629008537
-
- Anesthesiology Physician
- Albany, NY
- NPI 1841226594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1588812846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "624 MCCLELLAN ST STE G01",
"city": "SCHENECTADY",
"state": "NY",
"postal_code": "123041024",
"telephone_number": "518-347-5655",
"fax_number": "518-347-5656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "624 MCCLELLAN ST STE G01",
"city": "SCHENECTADY",
"state": "NY",
"postal_code": "123041024",
"telephone_number": "518-347-5655",
"fax_number": "518-347-5656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOVALOVICH",
"first_name": "ANDREW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-28",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NY",
"license": "001079",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "3019900",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03686028",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF NENY",
"identifier": "000494921003",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDPHP",
"identifier": "200245431",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BLUE CROSS",
"identifier": "M93091",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Schenectady, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.