Organization Active NPI

CRM Audiology, PC

  • Audiologist
  • Purchase, NY
National Provider Identifier
1710051685
Registry record updated Oct 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1815 Issued in NY
Legal business name
CRM AUDIOLOGY, PC
Practice address
2975 Westchester Ave Ste 202
Purchase, NY 10577-2500
Phone
(914) 997-1743
Fax
(914) 437-7306
NPI assigned
Nov 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2017

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

Authorized official

Name
Christine Russo-Mayer, AU.D.NPI 1679563571
Title
Owner
Phone
(914) 997-1743

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 231H00000X 1815 NY Primary
Assistive Technology Practitioner AudiologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 231HA2400X 14000015622 NY

Addresses

Primary practice location

2975 Westchester Ave Ste 202
Purchase, NY 10577-2500

Mailing address

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060111000514 NY Part B Supplier - Clinic/Group Practice 4587687900 Receives reassigned benefits from 1 practitioner
Practice locations: Purchase, NY

National Provider Directory

National Provider Directory
Tax ID family
CRM Audiology PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509062400000",
    "number": "1710051685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2975 WESTCHESTER AVE STE 202",
            "city": "PURCHASE",
            "state": "NY",
            "postal_code": "105772500",
            "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 STE 202",
            "city": "PURCHASE",
            "state": "NY",
            "postal_code": "105772500",
            "telephone_number": "914-997-1743",
            "fax_number": "914-437-7306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRM AUDIOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2017-10-27",
        "status": "A",
        "authorized_official_last_name": "RUSSO-MAYER",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-997-1743",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": "NY",
            "license": "1815",
            "primary": true
        },
        {
            "code": "231HA2400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Audiologist, Assistive Technology Practitioner",
            "state": "NY",
            "license": "14000015622",
            "primary": false
        }
    ],
    "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 Oct 27, 2017; 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.