Individual provider Active NPI

Benjamin Gordon Schultz, AU.D.

  • Audiologist
  • Brooklyn, NY
National Provider Identifier
1902147150
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
002453 Issued in NY
Practice address
9020 5TH Ave FL 3
Brooklyn, NY 11209-5908
Phone
(718) 833-0515
NPI assigned
Mar 13, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 002453 NY Primary

Addresses

Primary practice location

9020 5TH Ave FL 3
Brooklyn, NY 11209-5908

Mailing address

75 Crystal Run Rd
Suite 220
Middletown, NY 10941-7000
Phone (888) 350-1368

Other practice location 1

75 Crystal Run Rd
Suite 220
Middletown, NY 10941-7000
Phone (888) 350-1368 ext. 329

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131016000380 NY Practitioner - Qualified Audiologist 4688808116 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Group practices
Placid Audiology PLLCGroup PAC ID 5890299416, 2 clinicians

Practice addresses (Care Compare)

2218 Saranac Ave
Suite 1
Lake Placid, NY 12946-1184
Phone (518) 523-0090

Merit-based Incentive Payment System (MIPS)

Final score
94.45 of 100Reported as group
Quality
89.91
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Placid Audiology, PLLC Audiologist CurrentSince Jul 24, 2025 Accepting new patients
Hudson Valley Ear, Nose & Throat, P. C. 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1363132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1902147150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 CRYSTAL RUN RD",
            "address_2": "SUITE 220",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109417000",
            "telephone_number": "888-350-1368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9020 5TH AVE FL 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112095908",
            "telephone_number": "718-833-0515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 Crystal Run Rd",
            "address_2": "Suite 220",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "NY",
            "postal_code": "109417000",
            "country_code": "US",
            "telephone_number": "888-350-1368 x329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "BENJAMIN",
        "middle_name": "GORDON",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-13",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "002453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; 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.

Verify at the official NPI Registry.