Individual provider Active NPI

Jennifer Marie Occhiuto, MA, CCC/A

  • Audiologist-Hearing Aid Fitter
  • Bellmore, NY
National Provider Identifier
1619996550
Registry record updated Dec 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
001893 Issued in NY
Practice address
2866 Merrick Rd
Bellmore, NY 11710-5726
Phone
(516) 221-2390
NPI assigned
Jul 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 001893 NY
Hearing Instrument Specialist 237700000X 14000016985 NY
Audiologist-Hearing Aid Fitter 237600000X 001893 NY Primary

Addresses

Primary practice location

2866 Merrick Rd
Bellmore, NY 11710-5726

Mailing address

456 Old Country Rd
Melville, NY 11747-1824
Phone (631) 271-4694

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140408002097 NY Practitioner - Qualified Audiologist 9638301575 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
14000016985NYMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology Services Company USA, LLC Audiologist CurrentSince Feb 1, 2018 Accepting new patients
Audiology Services Company USA, LLC CurrentSince Feb 1, 2018 Accepting new patients

Locations

2501 Cottontail Ln
Somerset, NJ 08873
Phone (732) 529-7120

124 E Main St
Ste 203
Babylon, NY 11702
Phone (631) 482-1340

2866 Merrick Rd
Bellmore, NY 11710
Phone (516) 221-2390

515 Madison Ave
Rm 2302
New York, NY 10022
Phone (212) 421-0889

176 N Village Ave
Ste 1C
Rockville Ctr, NY 11570
Phone (516) 594-1068

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576195200000",
    "number": "1619996550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "456 OLD COUNTRY RD",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117471824",
            "telephone_number": "631-271-4694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2866 MERRICK RD",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117105726",
            "telephone_number": "516-221-2390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OCCHIUTO",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MA, CCC/A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2019-12-13",
        "certification_date": "2019-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "001893",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "NY",
            "license": "14000016985",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NY",
            "license": "001893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellmore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2019; 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.