Individual provider Active NPI

Victoria Kopec, AU.D.

  • Audiologist-Hearing Aid Fitter
  • Port Jefferson, NY
National Provider Identifier
1902945215
Registry record updated Jun 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
14000006852 Issued in NY
Practice address
640 Belle Terre Rd Ste C
Ear Works
Port Jefferson, NY 11777-1936
Phone
(631) 928-4599
Fax
(631) 928-5542
NPI assigned
Feb 5, 2007
Last updated
Jun 6, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 00144-1 NY
Audiologist-Hearing Aid Fitter 237600000X 14000006852 NY Primary

Addresses

Primary practice location

640 Belle Terre Rd Ste C
Ear Works
Port Jefferson, NY 11777-1936

Mailing address

640 Belle Terre Rd Ste C
Ear Works
Port Jefferson, NY 11777-1936
Phone (631) 928-4599

Other identifiers 7

IdentifierTypeStateIssuer
001444-1OtherNYHIP
71692OtherNYVYTRA
113630298OtherNYTAX ID
M72472OtherNYEMPIRE
2414342OtherNYUNITED HEALTHCARE
4800362OtherNYGHI
P3614952OtherNYOXFORD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050630000978 NY Practitioner - Qualified Audiologist 6800832734 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ear Works Audiology PCGroup PAC ID 7517854524, 15 clinicians

Practice addresses (Care Compare)

1100 Franklin Ave
Suite 300
Garden City, NY 11530-1601
Phone (516) 248-0068

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
001444NYMDBehavioral Analyst
00144-1NYMDAudiologist
14000006852NYMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Ear Works Audiology Audiologist Current Accepting new patients
Ear Works Audiology PC Audiologist CurrentSince Mar 3, 2001 Accepting new patients
Prime Health Medical PC Past Accepting new patients

Locations

400 W Main St
Ste 342
Babylon, NY 11702

4045 Hempstead Tpke
Ste 202
Bethpage, NY 11714
Phone (516) 396-1027

6080 Jericho Tpke
Ste 208
Commack, NY 11725
Phone (631) 486-9430

1100 Franklin Ave
Ste 300
Garden City, NY 11530
Phone (516) 248-0068

300 Garden City Plz
Ste 350
Garden City, NY 11530
Phone (516) 248-0068

225 Community Dr
Ste 120
Great Neck, NY 11021
Phone (516) 466-0206

57 Southern Blvd
Ste 4
Nesconset, NY 11767
Phone (631) 238-5785

2 Ohio Dr
Ste 200
New Hyde Park, NY 11042
Phone (516) 563-7066

2800 Marcus Ave
Ste 207
New Hyde Park, NY 11042
Phone (516) 622-3387

1500 Route 112
Bldg 6H
Port Jeff Sta, NY 11776

485 Underhill Blvd
Ste 305
Syosset, NY 11791

5964 Route 25A
Wading River, NY 11792
Phone (631) 886-2770

Organizations & group practices 3

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": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212710400000",
    "number": "1902945215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 BELLE TERRE RD STE C",
            "address_2": "EAR WORKS",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117771936",
            "telephone_number": "631-928-4599",
            "fax_number": "631-928-5542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 BELLE TERRE RD STE C",
            "address_2": "EAR WORKS",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117771936",
            "telephone_number": "631-928-4599",
            "fax_number": "631-928-5542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPEC",
        "first_name": "VICTORIA",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2008-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "00144-1",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NY",
            "license": "14000006852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "001444-1",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VYTRA",
            "identifier": "71692",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "113630298",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE",
            "identifier": "M72472",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2414342",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "4800362",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P3614952",
            "state": "NY"
        }
    ],
    "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 6, 2008; 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.