Active NPI
Lois Mary Bennardo, M.S. CCC-A
- Audiologist
- Huntington, NY
National Provider Identifier
1689943029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 797-1
- Practice address
- 325 Park Ave
Huntington, NY 11743-2779 - Phone
- (631) 351-3722
- NPI assigned
- Dec 14, 2011
- Last updated
- Feb 29, 2012
- Sex
- Female
- Sole proprietor
- No
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 | 797-1 | NY | Primary |
Addresses
Primary practice location
325 Park Ave
Huntington, NY 11743-2779
Mailing address
128 Vanderbilt Ave
Manhasset, NY 11030-1964
Phone (516) 570-6181
Other names 1
- Miss Lois Mary Genova
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000797 | NY | MD | Registered Dietitian |
| 797-1 | NY | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Audiology Distribution, LLC | Current | Accepting new patients |
Locations
800 Northern Blvd
Great Neck, NY 11021
Phone (516) 829-8450
1776 Broadway
New York, NY 10019
Phone (212) 399-7329
Organizations & group practices 1
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": "1323820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330473600000",
"number": "1689943029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "128 VANDERBILT AVE",
"city": "MANHASSET",
"state": "NY",
"postal_code": "110301964",
"telephone_number": "516-570-6181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 PARK AVE",
"city": "HUNTINGTON",
"state": "NY",
"postal_code": "117432779",
"telephone_number": "631-351-3722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNARDO",
"first_name": "LOIS",
"middle_name": "MARY",
"name_prefix": "Mrs.",
"credential": "M.S. CCC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-14",
"last_updated": "2012-02-29",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NY",
"license": "797-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LOIS",
"last_name": "GENOVA",
"middle_name": "MARY",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Huntington, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; 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.