Individual provider Active NPI

Steven Perlow, AU.D.

  • Audiologist
  • Williamsville, NY
National Provider Identifier
1609879147
Registry record updated Jan 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
506 Issued in NY
Practice address
6645 Main Street
Suite B
Williamsville, NY 14221
Phone
(716) 633-0721
Fax
(716) 633-5987
NPI assigned
May 28, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2012

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 506 NY Primary
Assistive Technology Practitioner Audiologist 231HA2400X 506 NY
Assistive Technology Supplier Audiologist 231HA2500X 506 NY
Audiologist-Hearing Aid Fitter 237600000X 506 NY

Addresses

Primary practice location

6645 Main Street
Suite B
Williamsville, NY 14221

Mailing address

6645 Main Street
Suite B
Williamsville, NY 14221
Phone (716) 633-0721

Other identifiers 9

IdentifierTypeStateIssuer
000576036001OtherNYSEN. BLUE - STEVE
000580017401OtherNYSEN. BLUE - ACCURA
000580074001OtherNYCB TRAD. - ACCURA
9210640OtherNYIHA
000576036001OtherNYBC TRAD. - STEVE
000576036001OtherNYCB
000580074001OtherNYBC/GM - ACCURA
02149984MedicaidNY
00011175601OtherNYUNIVERA INCL. SEN. CHOICE

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

State licenses

LicenseStateTypeSpecialty
506NYMDAssistive Technology Practitioner Audiologist

NPI Registry JSON

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

{
    "created_epoch": "1117238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325635200000",
    "number": "1609879147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6645 MAIN STREET",
            "address_2": "SUITE B",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "14221",
            "telephone_number": "716-633-0721",
            "fax_number": "716-633-5987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6645 MAIN STREET",
            "address_2": "SUITE B",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "14221",
            "telephone_number": "716-633-0721",
            "fax_number": "716-633-5987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERLOW",
        "first_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-28",
        "last_updated": "2012-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "506",
            "primary": true
        },
        {
            "code": "231HA2400X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Practitioner",
            "state": "NY",
            "license": "506",
            "primary": false
        },
        {
            "code": "231HA2500X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Supplier",
            "state": "NY",
            "license": "506",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NY",
            "license": "506",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SEN. BLUE - STEVE",
            "identifier": "000576036001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SEN. BLUE - ACCURA",
            "identifier": "000580017401",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CB TRAD. - ACCURA",
            "identifier": "000580074001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHA",
            "identifier": "9210640",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC TRAD. - STEVE",
            "identifier": "000576036001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CB",
            "identifier": "000576036001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/GM - ACCURA",
            "identifier": "000580074001",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02149984",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA INCL. SEN. CHOICE",
            "identifier": "00011175601",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2012; 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.