Active NPI
Jennifer Popovich, M.A.
- Audiologist
- Penfield, NY
National Provider Identifier
1679536072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 57 001999
- Practice address
- 2596 Baird Rd
Penfield, NY 14526-2333 - Phone
- (585) 419-8172
- NPI assigned
- Apr 8, 2006
- Last updated
- Jan 5, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 | 57 001999 | NY | Primary |
Addresses
Primary practice location
2596 Baird Rd
Penfield, NY 14526-2333
Mailing address
23 Golf Stream Dr
Penfield, NY 14526-2547
Other names 1
- Jennifer Ciarmoli
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57 001999 | NY | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakewood Pain Management & Chiropractic LLC | Past | Accepting new patients | |
| Hearing and Speech Center of Rochester Inc. | Audiologist | Past | Accepting new patients |
| Warrensville Physical Medicine & Chiropractic Rehabilitation, LLC | Past | Accepting new patients | |
| Advanced Pain Management & Chiropractic LLC | Past | Accepting new patients | |
| Physical Medicine and Chiropractic Rehabilitation LLC | Past | Accepting new patients |
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.
-
dba Rochester Hearing and Speech Center
- Audiologist
- Rochester, NY
- NPI 1548222821
-
dba Parma Chiropractic & Spine Center
- Chiropractor
- Lyndhurst, OH
- NPI 1649333238
-
- Chiropractor
- Lakewood, OH
- NPI 1235292822
-
- Chiropractor
- Euclid, OH
- NPI 1720141013
-
dba Cleveland Spine and Pain Management Center
- Chiropractor
- Warrensville HTS, OH
- NPI 1629131222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483574400000",
"number": "1679536072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 GOLF STREAM DR",
"city": "PENFIELD",
"state": "NY",
"postal_code": "145262547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2596 BAIRD RD",
"city": "PENFIELD",
"state": "NY",
"postal_code": "145262333",
"telephone_number": "585-419-8172"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POPOVICH",
"first_name": "JENNIFER",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-08",
"last_updated": "2017-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NY",
"license": "57 001999",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "CIARMOLI",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Penfield, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.