Active NPI
Juliet Raine Stuber, AUD
- Audiologist
- Camillus, NY
National Provider Identifier
1639060874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 003318
- Practice address
- 5639 W Genesee St
Camillus, NY 13031-1250 - Phone
- (315) 468-2985
- NPI assigned
- Jul 15, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 003318 | NY | Primary |
Addresses
Primary practice location
5639 W Genesee St
Camillus, NY 13031-1250
Mailing address
4761 Edgeworth Dr
Manlius, NY 13104-2105
Phone (315) 882-7859
Other practice location 1
7000 E Genesee St Bldg E
Fayetteville, NY 13066-1131
Phone (315) 565-3250
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003318 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Preferred Audiology Care, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Hearing and Speech Clinic/Center
- Camillus, NY
- NPI 1033449558
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1752537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752537600000",
"number": "1639060874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4761 EDGEWORTH DR",
"city": "MANLIUS",
"state": "NY",
"postal_code": "131042105",
"telephone_number": "315-882-7859",
"fax_number": "315-882-7859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5639 W GENESEE ST",
"city": "CAMILLUS",
"state": "NY",
"postal_code": "130311250",
"telephone_number": "315-468-2985"
}
],
"practiceLocations": [
{
"address_1": "7000 E Genesee St Bldg E",
"address_purpose": "LOCATION",
"city": "Fayetteville",
"state": "NY",
"postal_code": "130661131",
"country_code": "US",
"telephone_number": "315-565-3250",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STUBER",
"first_name": "JULIET",
"middle_name": "RAINE",
"name_prefix": "Dr.",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-07-15",
"last_updated": "2025-07-15",
"certification_date": "2025-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NY",
"license": "003318",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Camillus, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.