Carissa Lynn Citro, AU.D, CCC-A

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

002898-01 Issued in NY

Practice address

23 S Howell Ave Ste M
Centereach, NY 11720-4445

Phone

(631) 284-2299

NPI assigned

Oct 31, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Hudson Valley Audiology PC

  • Audiologist-Hearing Aid Fitter
  • Pomona, NY
  • NPI 1841624517
  NPD
• Northland Hearing Centers, Inc.

  • Hearing and Speech Clinic/Center
  • Sparta, IL
  • NPI 1184677791

  Audiologist-Hearing Aid Fitter

  NPD (past)

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

{
    "created_epoch": "1572480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572480000000",
    "number": "1689218869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 S HOWELL AVE STE M",
            "city": "CENTEREACH",
            "state": "NY",
            "postal_code": "117204445",
            "telephone_number": "631-284-2299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 S HOWELL AVE STE M",
            "city": "CENTEREACH",
            "state": "NY",
            "postal_code": "117204445",
            "telephone_number": "631-284-2299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CITRO",
        "first_name": "CARISSA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "AU.D, CCC-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-31",
        "last_updated": "2019-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NY",
            "license": "002898-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cherubin Luders Charles
• Opkar S Chawla, MD
• Emily Chiominto
• Cinquemani & Leibowitz DDS
• Sara C Cioffi, CPTA
• Eunice V Clarke
• Justina Coll, LCSW
• Community Medical Care of Centereach, P.C.
• Carleen Conde, NP
• Allison Connors-Wesch

• Audiologist-Hearing Aid Fitter in Centereach, NY
• Providers in Centereach, NY by specialty
• Audiologist-Hearing Aid Fitter in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2019; 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.