Individual provider Active NPI

Theresa Nicole Carone, AU.D.

  • Audiologist
  • New York, NY
National Provider Identifier
1750920674
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
002872-01 Issued in NY
Practice address
110 E 59TH St RM 10a
New York, NY 10022-1359
Phone
(212) 434-4582
NPI assigned
Dec 23, 2019
Last updated
Jun 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 002872-01 NY Primary
Audiologist-Hearing Aid Fitter 237600000X 14000059200 NY

Addresses

Primary practice location

110 E 59TH St RM 10a
New York, NY 10022-1359

Mailing address

14 Walden Ave
Staten Island, NY 10306-1345
Phone (929) 944-7478

Other practice location 1

154 Roman Ave
Staten Island, NY 10314-2726
Phone (917) 365-7290

Other names 1

  • Theresa Nicole Vitale Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002872-01NYMDAudiologist
14000059200NYMDAudiologist-Hearing Aid Fitter

NPI Registry JSON

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

{
    "created_epoch": "1577059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1750920674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 WALDEN AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103061345",
            "telephone_number": "929-944-7478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E 59TH ST RM 10A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221359",
            "telephone_number": "212-434-4582"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "154 Roman Ave",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103142726",
            "country_code": "US",
            "telephone_number": "917-365-7290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARONE",
        "first_name": "THERESA",
        "middle_name": "NICOLE",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-23",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "002872-01",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NY",
            "license": "14000059200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THERESA",
            "last_name": "VITALE",
            "middle_name": "NICOLE",
            "credential": "AU.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.