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DEREK PETTI
NPI 1215345756
Audiologist in New York, NY

Active since July 29, 2014
380 2ND AVE FL 9, NEW YORK, NY 10010(646) 438-7879 Get Directions Write a Review

NPPES record last updated: July 29, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Derek Petti NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEREK PETTI (NPI 1215345756) is an individual audiologist in New York, New York, licensed in New York (002548) and active in the NPI registry since July 2014.

NPPES Registry Identity

NPI1215345756
Entity TypeIndividualMale
Primary Taxonomy231H00000X
Provider Legal NameDEREK PETTI
Location Address380 2ND AVE FL 9New York, NY 10010-5645
Mailing Address380 2nd Ave Fl 9New York, NY 10010-5645 · (646) 438-7879
Phone(646) 438-7879
Sole ProprietorNo
Enumeration DateJuly 29, 2014
✔ NPI 1215345756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAudiologistSpeech, Language and Hearing Service Providers
Taxonomy Code231H00000X
License✔ Licensed in NY · 002548
Definition
(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.
380 2ND AVE FL 9, New York, NY 10010
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Derek Petti is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Derek Petti reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Audiology Distribution, LLC
485 mi
Audiologist-Hearing Aid Fitter
7136 MUIRFIELD DR STE C-100
Dublin, OH 43017
  • Reassigned Medicare billing, New York enrollment
  • 32 clinicians in this Medicare group
NPI 1164707998 (614) 764-1510

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMILY LIVINGSTON AUD
Audiologist
380 2ND AVE FL 9
NEW YORK, NY 10010
New York County (212) 614-8379
MR. STEPHEN PECORARO HAD
Hearing Instrument Specialist
380 2ND AVE FL 9
NEW YORK, NY 10010
New York County (212) 979-4621
MELISSA T CAMBANA
Registered Nurse
380 2ND AVE FL 9
NEW YORK, NY 10010
New York County (212) 979-4620
MRS. VERA LEYKO CCC-SLP
Speech-Language Pathologist
380 2ND AVE FL 9
NEW YORK, NY 10010
New York County (646) 438-7890
DAVID SPRITZLER
Specialist/Technologist
380 2ND AVE FL 9
NEW YORK, NY 10010
New York County (646) 438-7833
NICOLE KLEIN CCC-SLP
Speech-Language Pathologist
380 2ND AVE FL 9
NEW YORK, NY 10010
New York County (646) 438-7841
SARAH SIETSEMA MS, CCC-SLP
Speech-Language Pathologist
380 2ND AVE FL 9, NEW YORK EYE & EAR INFIRMARY
NEW YORK, NY 10010
New York County (646) 438-7885
MS. AMY LYNN COOPER M.S., CCC-SLP
Speech-Language Pathologist
380 2ND AVE FL 9, VOICE AND SWALLOWING INSTITUTE
NEW YORK, NY 10010
New York County (646) 438-7883

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Derek Petti's NPI number?

The NPI number for Derek Petti is 1215345756. It was assigned to this individual provider in the NPPES registry on July 29, 2014.

Where is Derek Petti located?

Derek Petti practices at 380 2nd Ave Fl 9, New York, NY 10010. The listed phone number is (646) 438-7879.

What is Derek Petti's specialty?

The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.

Is Derek Petti enrolled in Medicare?

Yes. Derek Petti is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Derek Petti's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Derek Petti reassigns Medicare benefits to Audiology Distribution, LLC (Dublin, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Derek Petti's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Derek Petti was last updated on July 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.