Southside Hearing Center, LLC

Primary specialty

AudiologistTaxonomy code 231H00000X

Legal business name

SOUTHSIDE HEARING CENTER, LLC

Practice address

3513 Thomas Dr Ste 2
Lakeville, NY 14480-9759

Phone

(585) 243-7690

Fax

(585) 346-7582

NPI assigned

Oct 3, 2006

Last updated

May 30, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kathleen Brady

Title

Business Manager

Phone

(585) 243-7690

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Susan S. Debruyne, AU.D

  • Audiologist
  • Lakeville, NY
  • NPI 1023010550
  Medicare reassignment NPD
• Katelyn Elise Murphy, AUD

  • Audiologist
  • Lakeville, NY
  • NPI 1851998405
  NPD
• Louis Velocci, O.D.

  • Optometrist
  • Henrietta, NY
  • NPI 1245241256
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717027200000",
    "number": "1043304157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3513 THOMAS DR STE 2",
            "city": "LAKEVILLE",
            "state": "NY",
            "postal_code": "144809759",
            "telephone_number": "585-243-7690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3513 THOMAS DR STE 2",
            "city": "LAKEVILLE",
            "state": "NY",
            "postal_code": "144809759",
            "telephone_number": "585-243-7690",
            "fax_number": "585-346-7582"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 Finn Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Henrietta",
            "state": "NY",
            "postal_code": "144679388",
            "country_code": "US",
            "telephone_number": "585-359-4987",
            "fax_number": "585-487-6027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTHSIDE HEARING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "585-243-7690"
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "NY",
            "license": "1451",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shay Markovitch Dentistry, PLLC (Family Care of Livonia)
• Peter Shea, L.AC.
• John Anthony Siciliano
• Daniel Edward Simmons, PT
• Caitlin R Simpson, DC
• Sarah Spooner, DPT
• Soraya Steinhilber, D.D.S.
• David Storms
• Thorne Dental PLLC
• Ues Optical, Inc

• Audiologist in Lakeville, NY
• Providers in Lakeville, NY by specialty
• Audiologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; 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.