Preferred Hearing Care PLLC

Primary specialty

Hearing Aid EquipmentTaxonomy code 332S00000X

License

15000019991 Issued in NY

Legal business name

PREFERRED HEARING CARE PLLC

Practice address

1919 Deer Park Ave
Deer Park, NY 11729-3396

Phone

(631) 940-8262

Fax

(631) 940-8263

NPI assigned

Jun 6, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Shereeta Melissa Williams, AU.D,

Title

Owner/Provider

Phone

(631) 940-8262

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1307318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307318400000",
    "number": "1003100108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 DEER PARK AVE",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117293396",
            "telephone_number": "631-940-8262",
            "fax_number": "631-940-8263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 DEER PARK AVE",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117293396",
            "telephone_number": "631-940-8262",
            "fax_number": "631-940-8263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED HEARING CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-06",
        "last_updated": "2011-06-06",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "SHEREETA",
        "authorized_official_middle_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "631-940-8262",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D,"
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "NY",
            "license": "15000019991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI",
            "identifier": "1487827143",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AUDIOLOGY LICENSE",
            "identifier": "002017-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2011; 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.