Active NPI
CRM Audiology, PC
- Audiologist
- Purchase, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 1815
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christine Russo-Mayer, AU.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 1815 | NY | Primary |
| Assistive Technology Practitioner Audiologist | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Audiologist
- Purchase, NY
- NPI 1265804439
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.
-
- Audiologist
- Purchase, NY
- NPI 1679563571
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.