Individual provider Active NPI

Angela Monaco Macallister, AU.D.

  • Audiologist
  • Rochester, NY
National Provider Identifier
1871553966
Registry record updated Apr 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
001928-1 Issued in NY
Practice address
1561 Long Pond Rd
Suite 411
Rochester, NY 14626-4117
Phone
(585) 723-0030
Fax
(585) 723-8478
NPI assigned
Mar 24, 2006
Last updated
Apr 20, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2009

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 001928-1 NY Primary
Assistive Technology Practitioner Audiologist 231HA2400X 001928-1 NY
Assistive Technology Supplier Audiologist 231HA2500X 001928-1 NY
Audiologist-Hearing Aid Fitter 237600000X 14000017710 NY

Addresses

Primary practice location

1561 Long Pond Rd
Suite 411
Rochester, NY 14626-4117

Mailing address

1561 Long Pond Rd
Suite 411
Rochester, NY 14626-4117
Phone (585) 723-0030

Other identifiers 5

IdentifierTypeStateIssuer
P010101928OtherNYEXCELLUS BCBS
P020101928OtherNYEXCELLUS BCBS
155524AIOtherNYPREFERRED CARE
510527691OtherNYEMPIRE PLAN
7926668OtherNYAETNA

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
001928NYMDMarriage & Family Therapist
001928-1NYMDAudiologist
14000017710NYMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Rekhi & Rekhi Physicians PC PastSince Sep 1, 2008 Accepting new patients
Clear Choice Hearing Solutions, Inc Audiologist Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240185600000",
    "number": "1871553966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1561 LONG POND RD",
            "address_2": "SUITE 411",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146264117",
            "telephone_number": "585-723-0030",
            "fax_number": "585-723-8478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1561 LONG POND RD",
            "address_2": "SUITE 411",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146264117",
            "telephone_number": "585-723-0030",
            "fax_number": "585-723-8478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACALLISTER",
        "first_name": "ANGELA",
        "middle_name": "MONACO",
        "credential": "AU.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-24",
        "last_updated": "2009-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "001928-1",
            "primary": true
        },
        {
            "code": "231HA2400X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Practitioner",
            "state": "NY",
            "license": "001928-1",
            "primary": false
        },
        {
            "code": "231HA2500X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Supplier",
            "state": "NY",
            "license": "001928-1",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NY",
            "license": "14000017710",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCELLUS BCBS",
            "identifier": "P010101928",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCELLUS BCBS",
            "identifier": "P020101928",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "155524AI",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE PLAN",
            "identifier": "510527691",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7926668",
            "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 Apr 20, 2009; 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.