Individual provider Active NPI

Peter William Hart, AU.D.

  • Audiologist
  • Rochester, NY
National Provider Identifier
1811249873
Registry record updated Oct 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
00002436-1 Issued in NY
Practice address
468 Titus Ave
Rochester, NY 14617-3541
Phone
(585) 266-4130
Fax
(585) 266-4532
NPI assigned
Oct 15, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 00002436-1 NY Primary
Audiologist-Hearing Aid Fitter 237600000X 14000036042 NY
Hearing Instrument Specialist 237700000X 14000036042 NY

Addresses

Primary practice location

468 Titus Ave
Rochester, NY 14617-3541

Mailing address

468 Titus Ave
Rochester, NY 14617-3541
Phone (585) 266-4130

Other identifiers 1

IdentifierTypeStateIssuer
161163165OtherNYTAX ID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130204000397 NY Practitioner - Qualified Audiologist 2264686013 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Ridge Hearing and Speech Center IncGroup PAC ID 7719956846, 6 clinicians

Practice addresses (Care Compare)

200 White Spruce Blvd
Suite 120
Rochester, NY 14623-1605
Phone (585) 266-4130

300 Cross Keys Office Park
Suite 308
Fairport, NY 14450-3511
Phone (585) 388-3818

468 Titus Ave
Rochester, NY 14617-3541
Phone (585) 266-4130

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002436NYMDMidwife
00002436-1NYMDAudiologist
14000036042NYMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
East Ridge Hearing & Speech Center, Inc Audiologist CurrentSince Nov 1, 2012 Accepting new patients
East Ridge Hearing & Speech Center, Inc Audiologist CurrentSince Nov 1, 2012 Accepting new patients
East Ridge Hearing & Speech Center, Inc Audiologist Past Accepting new patients

Locations

54 N Main St
Brockport, NY 14420
Phone (585) 637-0730

200 White Spruce Blvd
Ste 120
Rochester, NY 14623
Phone (585) 266-4130

468 Titus Ave
Rochester, NY 14617
Phone (585) 266-4130

101 Canal Landing Blvd
Ste 10
Rochester, NY 14626
Phone (585) 227-6543

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1350259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350259200000",
    "number": "1811249873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "468 TITUS AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146173541",
            "telephone_number": "585-266-4130",
            "fax_number": "585-266-4532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "468 TITUS AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146173541",
            "telephone_number": "585-266-4130",
            "fax_number": "585-266-4532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "PETER",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-15",
        "last_updated": "2012-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "00002436-1",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NY",
            "license": "14000036042",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "NY",
            "license": "14000036042",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "161163165",
            "state": "NY"
        }
    ],
    "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 Oct 15, 2012; 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.