Individual provider Active NPI

Mary Kathryn Doyle, M.A., CCC-A

  • Audiologist
  • Islandia, NY
National Provider Identifier
1699711986
Registry record updated Jan 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1250-1 Issued in NY
Practice address
1832 Veteran'S Memorial Hwy
Islandia, NY 11749
Phone
(631) 582-3707
Fax
(631) 582-3795
NPI assigned
Jun 22, 2006
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NY

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20120517000354 NY Practitioner - Qualified Audiologist 8325201999 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
001250NYMDMarriage & Family Therapist
1250-1NYMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hearusa Inc Past
since Apr 1, 2012
Accepting new patients
Hearusa Inc Audiologist Past Accepting new patients
Advanced Hearing Centers Audiologist Past Accepting new patients
Hearusa Past
since Apr 1, 2012
Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 1250-1 NY Primary

Addresses

NPPES NPI Registry

Primary practice location

1832 Veteran'S Memorial Hwy
Islandia, NY 11749

Mailing address

P.O. Box 406153
Hearusa
Atlanta, GA 30384-1876
Phone (800) 528-3277

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 13, 2009.

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231804800000",
    "number": "1699711986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 406153",
            "address_2": "HEARUSA",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303841876",
            "telephone_number": "800-528-3277",
            "fax_number": "888-888-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1832 VETERAN'S MEMORIAL HWY",
            "city": "ISLANDIA",
            "state": "NY",
            "postal_code": "11749",
            "telephone_number": "631-582-3707",
            "fax_number": "631-582-3795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOYLE",
        "first_name": "MARY",
        "middle_name": "KATHRYN",
        "credential": "M.A., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2009-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "1250-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Islandia, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2009; 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.