Individual provider Active NPI

Emily Marie Henderson, AU.D.

  • Audiologist
  • Rochester, NY
National Provider Identifier
1649644410
Registry record updated Nov 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
2621 Issued in NY
Practice address
1000 Elmwood Ave
Suite 400
Rochester, NY 14620-3042
Phone
(585) 271-0680
Fax
(585) 442-4114
NPI assigned
Nov 17, 2015
Last updated
Nov 17, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 2621 NY Primary

Addresses

Primary practice location

1000 Elmwood Ave
Suite 400
Rochester, NY 14620-3042

Mailing address

1000 Elmwood Ave
Suite 400
Rochester, NY 14620-3042
Phone (585) 271-0680

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191018002107 NY Practitioner - Qualified Audiologist 3072844216 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Finger Lakes Hearing Center IncGroup PAC ID 0345205050, 5 clinicians

Practice addresses (Care Compare)

64 Elizabeth Blackwell St
C
Geneva, NY 14456-3403
Phone (315) 828-6989

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002621NYMDArt Therapist
2621NYMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Medical College CurrentSince Sep 10, 2019 Accepting new patients
Albany Medical College Audiologist CurrentSince Sep 10, 2019 Accepting new patients
Finger Lakes Hearing Center Inc Audiologist CurrentSince Nov 4, 2024 Accepting new patients
Hearing and Speech Center of Rochester Inc. Audiologist PastSince Apr 27, 2017 Accepting new patients
Rochester Hearing and Speech Center Past Accepting new patients

Locations

35 Hackett Blvd
#1
Albany, NY 12208
Phone (518) 262-4535

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

400 S Main St
#101
Canandaigua, NY 14424
Phone (315) 789-3595

64 Elizabeth Blackwell St
Ste A
Geneva, NY 14456
Phone (315) 789-2153

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1447718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447718400000",
    "number": "1649644410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 ELMWOOD AVE",
            "address_2": "SUITE 400",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146203042",
            "telephone_number": "585-271-0680",
            "fax_number": "585-442-4114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 ELMWOOD AVE",
            "address_2": "SUITE 400",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146203042",
            "telephone_number": "585-271-0680",
            "fax_number": "585-442-4114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "EMILY",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-17",
        "last_updated": "2015-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "2621",
            "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 Nov 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.