Individual provider Active NPI

Olivia Ann Brennan, AU.D.

  • Audiologist
  • Sayville, NY
National Provider Identifier
1750263992
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
3492387 Issued in NY
Practice address
58 S Main St
Sayville, NY 11782-3104
Phone
(631) 750-6377
Fax
(518) 504-6661
NPI assigned
Jul 21, 2025
Last updated
Jul 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 3492387 NY Primary

Addresses

Primary practice location

58 S Main St
Sayville, NY 11782-3104

Mailing address

58 S Main St
Sayville, NY 11782-3104
Phone (631) 750-6377

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250827001147 NY Practitioner - Qualified Audiologist 8123529757 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2501 Cottontail LN
Somerset, NJ 08873-5125

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3492387NYMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology Services Company USA, LLC Audiologist Current Accepting new patients
Audiology Services Company USA, LLC CurrentSince Jul 31, 2025 Accepting new patients
Audiology Services Company USA, LLC CurrentSince Jul 31, 2025 Accepting new patients

Locations

2501 Cottontail Ln
Somerset, NJ 08873
Phone (732) 529-7120

4205 Francis Lewis Blvd
#2
Bayside, NY 11361
Phone (718) 460-3100

2326 N Ocean Ave
Farmingville, NY 11738
Phone (631) 451-7760

240 W Seneca St
Ste 3
Manlius, NY 13104
Phone (315) 682-2025

515 Madison Ave
Rm 2302
New York, NY 10022
Phone (212) 421-0889

58 S Main St
Sayville, NY 11782
Phone (631) 750-6376

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, 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": "1753056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1750263992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 S MAIN ST",
            "city": "SAYVILLE",
            "state": "NY",
            "postal_code": "117823104",
            "telephone_number": "631-750-6377",
            "fax_number": "518-504-6661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 S MAIN ST",
            "city": "SAYVILLE",
            "state": "NY",
            "postal_code": "117823104",
            "telephone_number": "631-750-6377",
            "fax_number": "518-504-6661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNAN",
        "first_name": "OLIVIA",
        "middle_name": "ANN",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-21",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "3492387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sayville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; 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.