Active NPI
Mark J Kielecki, AUD
- Audiologist
- Ocala, FL
National Provider Identifier
1962739219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 002287-1
- Practice address
- 3307 SW 26TH Ave
Ocala, FL 34471-7843 - Phone
- (352) 861-3940
- NPI assigned
- Nov 6, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 002287-1 | NY | Primary |
Addresses
Primary practice location
3307 SW 26TH Ave
Ocala, FL 34471-7843
Mailing address
3307 SW 26TH Ave
Ocala, FL 34471-7843
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002287-1 | NY | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352160000000",
"number": "1962739219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3307 SW 26TH AVE",
"city": "OCALA",
"state": "FL",
"postal_code": "344717843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3307 SW 26TH AVE",
"city": "OCALA",
"state": "FL",
"postal_code": "344717843",
"telephone_number": "352-861-3940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIELECKI",
"first_name": "MARK",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-11-06",
"last_updated": "2012-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NY",
"license": "002287-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ocala, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.