Active NPI
Maureen Ann McDonald, AU.D.
- Audiologist
- Rochester, NY
National Provider Identifier
1619943610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 001049-1
- Practice address
- 468 Titus Ave
Rochester, NY 14617-3541 - Phone
- (585) 266-4130
- Fax
- (585) 266-4532
- NPI assigned
- Feb 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | 001049 | NY | |
| Audiologist | 231H00000X | 001049-1 | NY | Primary |
Addresses
Primary practice location
468 Titus Ave
Rochester, NY 14617-3541
Mailing address
468 Titus Ave
Rochester, NY 14617-3541
Phone (585) 266-4130
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
| License | State | Type | Specialty |
|---|---|---|---|
| 001049-1 | NY | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242345600000",
"number": "1619943610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "468 TITUS AVE",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146173541",
"telephone_number": "585-266-4130",
"fax_number": "585-266-4532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "468 TITUS AVE",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146173541",
"telephone_number": "585-266-4130",
"fax_number": "585-266-4532"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "MAUREEN",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-28",
"last_updated": "2009-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "NY",
"license": "001049",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NY",
"license": "001049-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.