Active NPI
Adrienne Manzella, M.A. CCC-A
- Audiologist
- Bay Shore, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 0001597-1
- Practice address
- 375 E Main St
Bay Shore, NY 11706-8418 - Phone
- (631) 665-2430
- NPI assigned
- Feb 1, 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 | 0001597-1 | NY | Primary |
Addresses
Primary practice location
375 E Main St
Bay Shore, NY 11706-8418
Mailing address
49 Frances Blvd
Holtsville, NY 11742-1044
Phone (631) 451-3715
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, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
159 Carleton Ave
Central Islip, NY 11722-4172
Phone (631) 650-2510
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.22 of 100
- Quality
- 66.44
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001597 | NY | MD | Acupuncturist |
| 0001597-1 | NY | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Long Island Select Healthcare, Inc. | Current | Accepting new patients | |
| Island Hearing & Balance Center LLC | Audiologist | Current | Accepting new patients |
| ENT and Allergy Associates LLP | Past | Accepting new patients |
Locations
159 Carleton Ave
Central Islip, NY 11722
Phone (631) 439-4300
120 Plant Ave
Hauppauge, NY 11788
Phone (631) 273-1300
2870 Hempstead Tpke
Fl 2
Levittown, NY 11756
Phone (516) 731-6644
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- Central Islip, NY
- NPI 1043663107
-
- Otolaryngology Physician
- Levittown, NY
- NPI 1174599765
Audiologist
-
- Developmental Disabilities Clinic/Center
- Riverhead, NY
- NPI 1265987150
-
- Otolaryngology Physician
- Tarrytown, NY
- NPI 1376598326
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461715200000",
"number": "1831236256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49 FRANCES BLVD",
"city": "HOLTSVILLE",
"state": "NY",
"postal_code": "117421044",
"telephone_number": "631-451-3715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "375 E MAIN ST",
"city": "BAY SHORE",
"state": "NY",
"postal_code": "117068418",
"telephone_number": "631-665-2430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANZELLA",
"first_name": "ADRIENNE",
"credential": "M.A. CCC-A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-01",
"last_updated": "2016-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NY",
"license": "0001597-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bay Shore, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2016; 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.