Organization Active NPI

Ledbetter Audiology PLLC

  • Audiologist
  • Bellmore, NY
National Provider Identifier
1851797757
Registry record updated Nov 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1564 Issued in NY
Legal business name
LEDBETTER AUDIOLOGY PLLC
Practice address
2631 Merrick Rd
Suite 201
Bellmore, NY 11710-5730
Phone
(516) 409-4327
Fax
(516) 409-4328
NPI assigned
Nov 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2014

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

Authorized official

Name
Dr. Jennifer Marie Ledbetter, AUDNPI 1962551325
Title
Audiologist/Owner
Phone
(516) 409-4327

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X 1564 NY Primary

Addresses

Primary practice location

2631 Merrick Rd
Suite 201
Bellmore, NY 11710-5730

Mailing address

2631 Merrick Rd
Suite 201
Bellmore, NY 11710-5730
Phone (516) 409-4327

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150310000154 NY Part B Supplier - Clinic/Group Practice 4183940109 Receives reassigned benefits from 1 practitioner
Practice locations: Bellmore, NY

National Provider Directory

National Provider Directory

Locations

2631 Merrick Rd
Ste 201
Bellmore, NY 11710
Phone (516) 409-4327

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1415145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415145600000",
    "number": "1851797757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2631 MERRICK RD",
            "address_2": "SUITE 201",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117105730",
            "telephone_number": "516-409-4327",
            "fax_number": "516-409-4328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2631 MERRICK RD",
            "address_2": "SUITE 201",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117105730",
            "telephone_number": "516-409-4327",
            "fax_number": "516-409-4328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEDBETTER AUDIOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-05",
        "last_updated": "2014-11-05",
        "status": "A",
        "authorized_official_last_name": "LEDBETTER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "AUDIOLOGIST/OWNER",
        "authorized_official_telephone_number": "516-409-4327",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "NY",
            "license": "1564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellmore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.