Organization Active NPI

Brookline Hearing Services Inc

  • Audiologist-Hearing Aid Fitter
  • Brookline, MA
National Provider Identifier
1003800905
Registry record updated Oct 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
Legal business name
BROOKLINE HEARING SERVICES INC
Practice address
1842 Beacon St
Suite #403
Brookline, MA 02445
Phone
(617) 232-1299
Fax
(617) 232-8959
NPI assigned
Sep 7, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2007

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

Authorized official

Name
Lisa Marie Carnevale
Title
Co Owner
Phone
(617) 232-1299

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid FitterGroup: 193200000X MULTI-SPECIALTY GROUP 237600000X Primary

Addresses

Primary practice location

1842 Beacon St
Suite #403
Brookline, MA 02445

Mailing address

1842 Beacon St
Suite #403
Brookline, MA 02445
Phone (617) 232-1299

Other identifiers 2

IdentifierTypeStateIssuer
AG0026OtherMABC/BS
007764OtherMABC/BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080505000126 MA Part B Supplier - Clinic/Group Practice 3779662697 Receives reassigned benefits from 3 practitioners
Practice locations: Brookline, MA

National Provider Directory

National Provider Directory
Tax ID family
Brookline Hearing Serv2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1842 Beacon St
Ste 403
Brookline, MA 02445
Phone (617) 232-1299

1842 Beacon St
#403
Brookline, MA 02445
Phone (617) 232-1299

1842 Beacon St
Ste 842
Brookline, MA 02445
Phone (617) 232-1299

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191974400000",
    "number": "1003800905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1842 BEACON ST",
            "address_2": "SUITE #403",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "02445",
            "telephone_number": "617-232-1299",
            "fax_number": "617-232-8959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1842 BEACON ST",
            "address_2": "SUITE #403",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "02445",
            "telephone_number": "617-232-1299",
            "fax_number": "617-232-8959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKLINE HEARING SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-07",
        "last_updated": "2007-10-10",
        "status": "A",
        "authorized_official_last_name": "CARNEVALE",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "617-232-1299"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "AG0026",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "007764",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.