Active NPI
Advanced Audiology of Ny PC
- Audiologist-Hearing Aid Fitter
- Tuckahoe, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- 57002140
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jasen A Ruiz, SCD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 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
National Provider Directory
National Provider Directory- Tax ID family
- Advanced Audiology of Ny
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Hearing Aid Equipment
- Nanuet, NY
- NPI 1760934954
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.
-
- Audiologist-Hearing Aid Fitter
- Tuckahoe, NY
- NPI 1467609990
-
- Audiologist
- Middletown, NY
- NPI 1265623185
-
- Hearing Instrument Specialist
- Kingston, NY
- NPI 1427684570
-
- Hearing Instrument Specialist
- Middletown, NY
- NPI 1700412681
-
- Audiologist
- Millburn, NJ
- NPI 1447278627
-
- Audiologist
- Elizabeth, NJ
- NPI 1043955578
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.