Individual provider Active NPI

Byron Campisi, HIS

  • Hearing Instrument Specialist
  • Lake Katrine, NY
National Provider Identifier
1811552474
Registry record updated Mar 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
14000001611 Issued in NY
Practice address
1996 Route 9W
Lake Katrine, NY 12449-5423
Phone
(845) 485-0168
Fax
(845) 336-0261
NPI assigned
May 8, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Aid Equipment 332S00000X 14000001611 NY
Hearing Instrument Specialist 237700000X 14000001611 NY Primary

Addresses

Primary practice location

1996 Route 9W
Lake Katrine, NY 12449-5423

Mailing address

1996 Route 9W
Lake Katrine, NY 12449-5423
Phone (845) 485-0168

Other practice location 1

22 IBM Rd Ste 109
Poughkeepsie, NY 12601-5457
Phone (845) 485-0168

Other practice location 2

6805 Route 9
Rhinebeck, NY 12572-1148
Phone (845) 516-4920

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
14000001611NYMDHearing Aid Equipment

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Valley Hearing Aid Center Inc. Hearing Instrument Specialist CurrentSince Aug 1, 2019 Accepting new patients
New Hartford Hearing Centers, Inc Hearing Instrument Specialist PastSince Jan 5, 2020 Accepting new patients

Locations

1996 Route 9W
Lake Katrine, NY 12449
Phone (845) 336-0108

22 Ibm Rd
Ste 109
Poughkeepsie, NY 12601
Phone (845) 232-2147

Organizations & group practices 2

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": "1557273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646870400000",
    "number": "1811552474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1996 ROUTE 9W",
            "city": "LAKE KATRINE",
            "state": "NY",
            "postal_code": "124495423",
            "telephone_number": "845-485-0168",
            "fax_number": "845-336-0261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1996 ROUTE 9W",
            "city": "LAKE KATRINE",
            "state": "NY",
            "postal_code": "124495423",
            "telephone_number": "845-485-0168",
            "fax_number": "845-336-0261"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 IBM Rd Ste 109",
            "address_purpose": "LOCATION",
            "city": "Poughkeepsie",
            "state": "NY",
            "postal_code": "126015457",
            "country_code": "US",
            "telephone_number": "845-485-0168",
            "fax_number": "845-462-2484",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6805 Route 9",
            "address_purpose": "LOCATION",
            "city": "Rhinebeck",
            "state": "NY",
            "postal_code": "125721148",
            "country_code": "US",
            "telephone_number": "845-516-4920",
            "fax_number": "845-516-4921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPISI",
        "first_name": "BYRON",
        "credential": "HIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-08",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "NY",
            "license": "14000001611",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "NY",
            "license": "14000001611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Katrine, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; 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.