Organization Active NPI

Advanced Audiology of Ny PC

  • Audiologist-Hearing Aid Fitter
  • Tuckahoe, NY
National Provider Identifier
1588960652
Registry record updated Feb 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
57002140 Issued in NY
Legal business name
ADVANCED AUDIOLOGY OF NY PC
Practice address
115 Main St
Tuckahoe, NY 10707-2911
Phone
(914) 395-3277
Fax
(914) 395-3270
NPI assigned
Feb 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2011

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

Authorized official

Name
Mr. Jasen A Ruiz, SCDNPI 1467609990
Title
Owner
Phone
(914) 395-3277

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid FitterGroup: 193400000X SINGLE SPECIALTY GROUP 237600000X 57002140 NY Primary

Addresses

Primary practice location

115 Main St
Tuckahoe, NY 10707-2911

Mailing address

115 Main St
Tuckahoe, NY 10707-2911
Phone (914) 395-3277

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110510000654 NY Part B Supplier - Clinic/Group Practice 0749466654 Receives reassigned benefits from 2 practitioners
Practice locations: Scarsdale, NY

National Provider Directory

National Provider Directory
Tax ID family
Advanced Audiology of Ny2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

463 Livingston St
Ste 104
Norwood, NJ 07648
Phone (201) 367-0936

390 Crystal Run Rd
Ste 105
Middletown, NY 10941
Phone (845) 703-8118

488 Freedom Plains Rd
Ste 144
Poughkeepsie, NY 12603
Phone (845) 452-7975

111 Brook St
Fl 3
Scarsdale, NY 10583
Phone (914) 472-1883

115 Main St
#A
Tuckahoe, NY 10707
Phone (914) 395-3277

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1297036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297036800000",
    "number": "1588960652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 MAIN ST",
            "city": "TUCKAHOE",
            "state": "NY",
            "postal_code": "107072911",
            "telephone_number": "914-395-3277",
            "fax_number": "914-395-3270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 MAIN ST",
            "city": "TUCKAHOE",
            "state": "NY",
            "postal_code": "107072911",
            "telephone_number": "914-395-3277",
            "fax_number": "914-395-3270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED AUDIOLOGY OF NY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-07",
        "last_updated": "2011-02-07",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "JASEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-395-3277",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "SCD"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NY",
            "license": "57002140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuckahoe, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2011; 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.