Individual provider Active NPI

Christine Russo-Mayer, AU.D.

  • Audiologist
  • Purchase, NY
National Provider Identifier
1679563571
Registry record updated Sep 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1815 Issued in NY
Practice address
2975 Westchester Ave
Ste 202
Purchase, NY 10577
Phone
(914) 997-1743
Fax
(914) 437-7306
NPI assigned
Oct 24, 2005
Last updated
Sep 28, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 1815 NY Primary

Addresses

Primary practice location

2975 Westchester Ave
Ste 202
Purchase, NY 10577

Mailing address

2975 Westchester Avenue
Suite 202
Purchase, NY 10577
Phone (914) 997-1743

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040708000092 NY Practitioner - Qualified Audiologist 9830177898 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2003
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2975 Westchester Ave
Suite 202
Purchase, NY 10577-2500
Phone (914) 997-1743

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001815NYMDMental Health Counselor
1815NYMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
CRM Audiology, PC Audiologist CurrentSince May 12, 2017 Accepting new patients
CRM Audiology PC Audiologist Past Accepting new patients

Locations

2975 Westchester Ave
Ste 202
Purchase, NY 10577
Phone (914) 305-5345

244 Westchester Ave
Ste 215
White Plains, NY 10604
Phone (646) 438-7802

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, 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": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475020800000",
    "number": "1679563571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2975 WESTCHESTER AVENUE",
            "address_2": "SUITE 202",
            "city": "PURCHASE",
            "state": "NY",
            "postal_code": "10577",
            "telephone_number": "914-997-1743",
            "fax_number": "914-437-7306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2975 WESTCHESTER AVE",
            "address_2": "STE 202",
            "city": "PURCHASE",
            "state": "NY",
            "postal_code": "10577",
            "telephone_number": "914-997-1743",
            "fax_number": "914-437-7306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSO-MAYER",
        "first_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-24",
        "last_updated": "2016-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "1815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Purchase, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2016; 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.