Active NPI
Elena L Maresca-Robertson, AU.D.
- Audiologist
- Stony Brook, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 001972-1
- Practice address
- 207 Hallock Rd
Suite 208
Stony Brook, NY 11790-3033 - Phone
- (631) 780-4327
- Fax
- (631) 675-6867
- NPI assigned
- May 21, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 231H00000X | 001972-1 | NY | Primary |
Addresses
Primary practice location
207 Hallock Rd
Suite 208
Stony Brook, NY 11790-3033
Mailing address
207 Hallock Rd
Suite 208
Stony Brook, NY 11790-3033
Phone (631) 780-4327
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AA37793 | Other | NH | HARVARD PILGRAM AUDIOLOGY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2500 Nesconset Hwy BLDG 3
Suite a
Stony Brook, NY 11790-3073
Phone (631) 780-4327
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001972-1 | NY | MD | Audiologist |
| 001972 | NY | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hearing and Tinnitus Management Audiology PLLC | Current | Accepting new patients |
Locations
2500 Nesconset Hwy
Bldg 3A
Stony Brook, NY 11790
Phone (631) 780-4327
2500 Nesconset Hwy
Ste A
Stony Brook, NY 11790
Phone (631) 780-4327
207 Hallock Rd
Ste 208
Stony Brook, NY 11790
Phone (631) 780-4327
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.
-
- Audiologist-Hearing Aid Fitter
- Stony Brook, NY
- NPI 1013340017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368489600000",
"number": "1801004858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 HALLOCK RD",
"address_2": "SUITE 208",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117903033",
"telephone_number": "631-780-4327",
"fax_number": "631-675-6867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 HALLOCK RD",
"address_2": "SUITE 208",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117903033",
"telephone_number": "631-780-4327",
"fax_number": "631-675-6867"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARESCA-ROBERTSON",
"first_name": "ELENA",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-21",
"last_updated": "2013-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NY",
"license": "001972-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRAM AUDIOLOGY",
"identifier": "AA37793",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stony Brook, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2013; 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.