Organization Active NPI

Cortland Audiology, PC

  • Hearing Aid Equipment
  • Cortland, NY
National Provider Identifier
1679852016
Registry record updated May 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Aid EquipmentTaxonomy code 332S00000X
License
0016891 Issued in NY
Legal business name
CORTLAND AUDIOLOGY, PC
Practice address
1033 State Route 13
Cortland, NY 13045
Phone
(607) 756-1053
Fax
(607) 299-4547
NPI assigned
Aug 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2020

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

Authorized official

Name
Suzette PaceNPI 1598822777
Title
Aud
Phone
(607) 756-1053

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Aid Equipment 332S00000X 0016891 NY Primary

Addresses

Primary practice location

1033 State Route 13
Cortland, NY 13045

Mailing address

1033 State Route 13
Cortland, NY 13045-3453
Phone (607) 756-1053

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210727001094 NY Part B Supplier - Clinic/Group Practice 6305249442 Receives reassigned benefits from 2 practitioners
Practice locations: Cortland, NY; Elmira, NY; Vestal, NY

National Provider Directory

National Provider Directory

Locations

277 Tompkins St
Ste C
Cortland, NY 13045
Phone (607) 753-1056

301 William St
Elmira, NY 14901
Phone (607) 734-0494

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1313452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589846400000",
    "number": "1679852016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 STATE ROUTE 13",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130453453",
            "telephone_number": "607-756-1053",
            "fax_number": "607-299-4547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 STATE ROUTE 13",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "13045",
            "telephone_number": "607-756-1053",
            "fax_number": "607-299-4547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORTLAND AUDIOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-16",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A",
        "authorized_official_last_name": "PACE",
        "authorized_official_first_name": "SUZETTE",
        "authorized_official_title_or_position": "AUD",
        "authorized_official_telephone_number": "607-756-1053"
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "NY",
            "license": "0016891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cortland, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; 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.