Active NPI
Nancy C. Fontana, AU.D.
- Audiologist
- Port Jefferson, NY
National Provider Identifier
1861652109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 1649
- Practice address
- 1500 Route 112
BLDG #4, 2ND Floor
Port Jefferson, NY 11776 - Phone
- (631) 928-0188
- NPI assigned
- Jun 10, 2008
- Sex
- Female
- Sole proprietor
- No
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 | 1649 | NY | Primary |
Addresses
Primary practice location
1500 Route 112
BLDG #4, 2ND Floor
Port Jefferson, NY 11776
Mailing address
660 White Plains Road - Enta
Fourth Floor
Tarrytown, NY 10591-6802
Phone (914) 984-2552
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, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1500 Route 112
BLDG 4
Port Jefferson Station, NY 11776-8055
Phone (631) 928-0188
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.45 of 100
- Quality
- 89.91
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001649 | NY | MD | Mental Health Counselor |
| 1649 | NY | MD | Audiologist |
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
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.
-
- Otolaryngology Physician
- Tarrytown, NY
- NPI 1376598326
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624320000000",
"number": "1861652109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "660 WHITE PLAINS ROAD - ENTA",
"address_2": "FOURTH FLOOR",
"city": "TARRYTOWN",
"state": "NY",
"postal_code": "105916802",
"telephone_number": "914-984-2552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 ROUTE 112",
"address_2": "BLDG #4, 2ND FLOOR",
"city": "PORT JEFFERSON",
"state": "NY",
"postal_code": "11776",
"telephone_number": "631-928-0188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FONTANA",
"first_name": "NANCY",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-10",
"last_updated": "2021-06-22",
"certification_date": "2021-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NY",
"license": "1649",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Jefferson, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; 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.