Active NPI
Victoria Kopec, AU.D.
- Audiologist-Hearing Aid Fitter
- Port Jefferson, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- 14000006852
- 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, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001444-1 | Other | NY | HIP |
| 71692 | Other | NY | VYTRA |
| 113630298 | Other | NY | TAX ID |
| M72472 | Other | NY | EMPIRE |
| 2414342 | Other | NY | UNITED HEALTHCARE |
| 4800362 | Other | NY | GHI |
| P3614952 | Other | NY | OXFORD |
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, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 001444 | NY | MD | Behavioral Analyst |
| 00144-1 | NY | MD | Audiologist |
| 14000006852 | NY | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ear Works Audiology | Audiologist | Current | Accepting new patients |
| Ear Works Audiology PC | Audiologist | Current | 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.
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- Audiologist
- New Hyde Park, NY
- NPI 1376935767
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- Nuclear Cardiology Physician
- Garden City, NY
- NPI 1265637284
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.