Individual provider Active NPI

Jennifer Lynn Savickis, AU.D

  • Audiologist
  • Garden City, NY
National Provider Identifier
1740379296
Registry record updated May 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
001455 Issued in NY
Practice address
975 Franklin Ave
Garden City, NY 11530-2921
Phone
(516) 248-0068
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 14000021476 NY
Audiologist 231H00000X 001455 NY Primary

Addresses

Primary practice location

975 Franklin Ave
Garden City, NY 11530-2921

Mailing address

1500 Rte 112
BLDG 6 Suite H
Port Jefferson, NY 11777
Phone (631) 678-5968

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080523000057 NY Practitioner - Qualified Audiologist 2365511805 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ear Works Audiology PCGroup PAC ID 7517854524, 15 clinicians

Practice addresses (Care Compare)

1500 Route 112
Suite H
Port Jefferson Station, NY 11776-8054
Phone (631) 928-4599

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001455NYMDAudiologist
14000021476NYMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Ear Works Audiology PC Audiologist CurrentSince Jun 4, 2012 Accepting new patients
Prime Health Medical PC Past Accepting new patients
Ear Works Audiology Audiologist Past Accepting new patients

Locations

400 W Main St
Ste 342
Babylon, NY 11702

4045 Hempstead Tpke
Ste 202
Bethpage, NY 11714
Phone (516) 396-1027

6080 Jericho Tpke
Ste 208
Commack, NY 11725
Phone (631) 486-9430

1100 Franklin Ave
Ste 300
Garden City, NY 11530
Phone (516) 248-0068

225 Community Dr
Ste 120
Great Neck, NY 11021
Phone (516) 466-0206

57 Southern Blvd
Ste 4
Nesconset, NY 11767
Phone (631) 238-5785

2 Ohio Dr
Ste 200
New Hyde Park, NY 11042
Phone (516) 563-7066

1500 Route 112
Bldg 6H
Port Jeff Sta, NY 11776

1500 Route 112
Bldg 6
Port Jefferson Station, NY 11776
Phone (631) 686-7890

1500 Route 112
Ste H
Port Jefferson Station, NY 11776
Phone (631) 928-4599

485 Underhill Blvd
Ste 305
Syosset, NY 11791

5964 Route 25A
Wading River, NY 11792
Phone (631) 886-2770

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557705600000",
    "number": "1740379296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 RTE 112",
            "address_2": "BLDG 6 SUITE H",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "11777",
            "telephone_number": "631-678-5968",
            "fax_number": "631-928-4599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 FRANKLIN AVE",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115302921",
            "telephone_number": "516-248-0068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAVICKIS",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "AU.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2019-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NY",
            "license": "14000021476",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "001455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

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