Active NPI
Brookline Hearing Services Inc
- Audiologist-Hearing Aid Fitter
- Brookline, MA
National Provider Identifier
1003800905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AG0026 | Other | MA | BC/BS |
| 007764 | Other | MA | BC/BS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Serv
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Hearing Aid Equipment
- Brookline, MA
- NPI 1700912896
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.
-
- Audiologist-Hearing Aid Fitter
- Brookline, MA
- NPI 1376537035
-
- Hearing Instrument Specialist
- Brookline, MA
- NPI 1235567462
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
- Brookline Family Counseling Center, Inc
- Brookline Family Dentistry
- Brookline Group
- Brookline Harmony Home Care LLC
- Brookline Hearing Services
- Brookline Medical Physicians, PC
- Brookline Orthodontic Associates
- Brookline Pediatrics, LLC
- Brookline Periodental Assoc
- Brookline Progressive Dental Team P.C.
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.