Active NPI
Matthew Scot Macdonald, AU.D.
- Audiologist-Hearing Aid Fitter
- Rochester, NY
National Provider Identifier
1780833996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- 14000009439
- Practice address
- 2561 Lac de Ville Blvd
Suite 101
Rochester, NY 14618-5645 - Phone
- (585) 461-9192
- Fax
- (585) 461-9196
- NPI assigned
- Sep 11, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | 14000009439 | NY | Primary |
Addresses
Primary practice location
2561 Lac de Ville Blvd
Suite 101
Rochester, NY 14618-5645
Mailing address
2561 Lac de Ville Blvd
Suite 101
Rochester, NY 14618-5645
Phone (585) 461-9192
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001423 | NY | MD | Acupuncturist |
| 14000009439 | NY | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Macdonald Audiology PC | Current | Accepting new patients |
Locations
2561 Lac de Ville Blvd
Rochester, NY 14618
Phone (585) 244-3510
10 S Pointe Lndg
Ste 150
Rochester, NY 14606
Phone (585) 227-0808
2561 Lac de Ville Blvd
Ste 101
Rochester, NY 14618
Phone (585) 461-9192
Organizations & group practices 1
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": "1221091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407974400000",
"number": "1780833996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2561 LAC DE VILLE BLVD",
"address_2": "SUITE 101",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146185645",
"telephone_number": "585-461-9192",
"fax_number": "585-461-9196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2561 LAC DE VILLE BLVD",
"address_2": "SUITE 101",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146185645",
"telephone_number": "585-461-9192",
"fax_number": "585-461-9196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACDONALD",
"first_name": "MATTHEW",
"middle_name": "SCOT",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-11",
"last_updated": "2014-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "NY",
"license": "14000009439",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; 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.