STATEN ISLAND AUDIOLOGICAL SERVICES, P.C.
NPI 1922380971
Audiologist in Staten Island, NY
About Staten Island Audiological Services, P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STATEN ISLAND AUDIOLOGICAL SERVICES, P.C. (NPI 1922380971) is a healthcare organization registered as an audiologist in Staten Island, New York and active in the NPI registry since September 2011. The organization lists Mary E Goodacre, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Staten Island Audiological Services, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Staten Island Audiological Services, P.C., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Staten Island Audiological Services, P.C.'s NPI number?
The NPI number for Staten Island Audiological Services, P.C. is 1922380971. It was assigned to this organization in the NPPES registry on September 15, 2011.
Where is Staten Island Audiological Services, P.C. located?
Staten Island Audiological Services, P.C. is located at 1173 Forest Ave, Staten Island, NY 10310. The listed phone number is (718) 981-6020.
What is Staten Island Audiological Services, P.C.'s specialty?
The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.
Is Staten Island Audiological Services, P.C. enrolled in Medicare?
Yes. Staten Island Audiological Services, P.C. is registered in the Medicare PECOS enrollment system.
When is Staten Island Audiological Services, P.C.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Staten Island Audiological Services, P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Qualified Audiologist, reassign their Medicare billing to Staten Island Audiological Services, P.C.. A 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 the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Staten Island Audiological Services, P.C. was last updated on September 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Staten Island Audiological Services, P.c. · NPI 1922380971
Audiologist organization in Staten Island, New York. Organization record, active in the CMS NPPES registry since September 15, 2011.
## Identity
- **NPI:** 1922380971 (Entity type: Organization)
- **Enumerated:** September 15, 2011
- **Primary specialty:** Audiologist · taxonomy 231H00000X
- **Organization subpart:** No
- **Authorized official:** Mary Goodacre, PRESIDENT
## Practice location
- **Address:** 1173 FOREST AVE, Staten Island, NY 10310-2408
- **Phone:** (718) 981-6020 · **Fax:** (718) 876-8370
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, New York, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians (Qualified Audiologist) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 15, 2011
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Source: [NPI Profile](https://npiprofile.com/npi/1922380971) · Data from the CMS NPPES public registry.