Individual provider Active NPI

Tonianne Larson, AUD

  • Audiologist-Hearing Aid Fitter
  • Brooklyn, NY
National Provider Identifier
1962387480
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
003346 Issued in NY
Practice address
1400 Avenue Z Ste 203
Brooklyn, NY 11235-3837
Phone
(718) 745-6363
Fax
(718) 836-2223
NPI assigned
Aug 6, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 003346 NY Primary

Addresses

Primary practice location

1400 Avenue Z Ste 203
Brooklyn, NY 11235-3837

Mailing address

1400 Avenue Z Ste 203
Brooklyn, NY 11235-3837
Phone (718) 745-6363

Other practice location 1

142 Joralemon St Ste 8108B
Brooklyn, NY 11201-4747
Phone (718) 745-6363

Other practice location 2

8502 4th Ave
Brooklyn, NY 11209-4608
Phone (718) 745-6363

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250902003615 NY Practitioner - Qualified Audiologist 9537660303 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MLR Audiology PCGroup PAC ID 6305215112, 5 clinicians

Practice addresses (Care Compare)

1400 Ave Z
Suite 203
Brooklyn, NY 11235-3837
Phone (718) 745-6363

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003346NYMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
MLR Audiology PC CurrentSince Sep 1, 2025 Accepting new patients

Locations

1400 Avenue Z
Ste 203
Brooklyn, NY 11235
Phone (718) 745-6363

8502 4th Ave
Brooklyn, NY 11209
Phone (718) 745-6363

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.

NPI Registry JSON

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

{
    "created_epoch": "1754438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1962387480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 AVENUE Z STE 203",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353837",
            "telephone_number": "718-745-6363",
            "fax_number": "718-836-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 AVENUE Z STE 203",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353837",
            "telephone_number": "718-745-6363",
            "fax_number": "718-836-2223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "142 Joralemon St Ste 8108B",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112014747",
            "country_code": "US",
            "telephone_number": "718-745-6363",
            "fax_number": "718-836-2223",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8502 4th Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112094608",
            "country_code": "US",
            "telephone_number": "718-745-6363",
            "fax_number": "718-836-2223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LARSON",
        "first_name": "TONIANNE",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-06",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NY",
            "license": "003346",
            "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 22, 2025; 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.