Stephen Thomas Petrosky, AUD

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AT006812 Issued in PA

Practice address

108 South St FL 2
Philadelphia, PA 19147-2419

Phone

(484) 714-2937

NPI assigned

Jul 18, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1658102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1982339701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 SOUTH ST FL 2",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191472419",
            "telephone_number": "484-714-2937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 SOUTH ST FL 2",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191472419",
            "telephone_number": "484-714-2937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETROSKY",
        "first_name": "STEPHEN",
        "middle_name": "THOMAS",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-18",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "PA",
            "license": "AT006812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Marie Petroski, LMT
• Kerri Anne Petroski, MA, LPC
• Michael Edward Petroski, D.C.
• Nicholas Petroski, DPT
• Ronald Petrosky
• Dmitriy Petrov, MD
• Marija Petrovic, M.D.
• Aidan Petrovich
• Justin Petrozzini, DPT
• Philip Petrucelli, MD

• Audiologist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Audiologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.