Active NPI
John Paul Schaeffer, HIS
- Hearing Instrument Specialist
- Virginia Beach, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 2101002458
- Practice address
- 600 N Witchduck Rd Ste 103
Virginia Beach, VA 23462-1947 - Phone
- (833) 687-8324
- Fax
- (757) 222-5991
- NPI assigned
- Sep 16, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | B201502220 | VA | |
| Hearing Instrument Specialist | 237700000X | 2101002458 | VA | Primary |
Addresses
Primary practice location
600 N Witchduck Rd Ste 103
Virginia Beach, VA 23462-1947
Mailing address
600 N Witchduck Rd Ste 103
Virginia Beach, VA 23462-1947
Phone (833) 687-8324
Other practice location 1
257 Caratoke Hwy Ste B
Moyock, NC 27958-8677
Phone (833) 687-8324 ext. 2
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2101002458 | Other | VA | VIRGINIA DEPARTMENT OF PROFESSIONAL AND OCCUPATIONAL REGULATION |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | contact@novacustomtech.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| B201502220 | VA | MD | Basic Emergency Medical Technician |
| 2101002458 | VA | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nova Custom Technologies Inc. | Current | Accepting new patients | |
| Revolution Hearing | Hearing Instrument Specialist | Past | Accepting new patients |
Locations
257 Caratoke Hwy
Ste B
Moyock, NC 27958
Phone 8336878324 ext. 2
600 N Witchduck Rd
Ste 103
Virginia Beach, VA 23462
Phone (833) 687-8324
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Nova Hearing Centers
- Hearing and Speech Clinic/Center
- Virginia Beach, VA
- NPI 1891289757
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600300800000",
"number": "1043826969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 N WITCHDUCK RD STE 103",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234621947",
"telephone_number": "833-687-8324",
"fax_number": "757-222-5991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 N WITCHDUCK RD STE 103",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234621947",
"telephone_number": "833-687-8324",
"fax_number": "757-222-5991"
}
],
"practiceLocations": [
{
"address_1": "257 Caratoke Hwy Ste B",
"address_purpose": "LOCATION",
"city": "Moyock",
"state": "NC",
"postal_code": "279588677",
"country_code": "US",
"telephone_number": "833-687-8324 x2",
"fax_number": "757-222-5991",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHAEFFER",
"first_name": "JOHN",
"middle_name": "PAUL",
"credential": "HIS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-09-16",
"last_updated": "2020-09-17",
"certification_date": "2020-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "146N00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Basic",
"state": "VA",
"license": "B201502220",
"primary": false
},
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "VA",
"license": "2101002458",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIRGINIA DEPARTMENT OF PROFESSIONAL AND OCCUPATIONAL REGULATION",
"identifier": "2101002458",
"state": "VA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "contact@novacustomtech.com",
"affiliation": "N",
"endpointDescription": "secured email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "secure email https",
"address_1": "600 N Witchduck Rd Ste 103",
"city": "Virginia Beach",
"state": "VA",
"country_code": "US",
"postal_code": "234621947",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.