Tina Maria Mancuso, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

001416-01 Issued in NY

Practice address

11150 Huron St
208
Northglenn, CO 80234-4379

Phone

(303) 426-0633

Fax

(303) 426-0759

NPI assigned

Jun 20, 2008

Last updated

May 25, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ken-Ton Hearing, P.C.Group PAC ID 7113924192, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ken-Ton Hearing, P.C.

  • Audiologist-Hearing Aid Fitter
  • Kenmore, NY
  • NPI 1114993557
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1213920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1780845958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3306 DELAWARE AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142171723",
            "telephone_number": "303-953-5976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11150 HURON ST",
            "address_2": "208",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802344379",
            "telephone_number": "303-426-0633",
            "fax_number": "303-426-0759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCUSO",
        "first_name": "TINA",
        "middle_name": "MARIA",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-20",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "001416-01",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CO",
            "license": "525",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "61927872",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenneth Magouirk
• Michael Maialley, MP/RD
• Amelia Malone
• Seana Malone, MA, LPC
• Jude Patrick Maloney
• Anne Mangold, D.D.S.
• Marathon Health, LLC
• Maelis Martin Delgado
• Kyle Martin
• Micaela Martin

• Audiologist in Northglenn, CO
• Providers in Northglenn, CO by specialty
• Audiologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; 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.