NPIMap

Organization Active NPI

Boulevard Hearing Aid Center

  • Hearing Aid Equipment
  • Forest Hills, NY
National Provider Identifier
1093144792
Registry record updated Nov 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Aid EquipmentTaxonomy code 332S00000X
License
000142-1 Issued in NY
Legal business name
BOULEVARD HEARING AID CENTER
Practice address
11625 Queens Blvd
Forest Hills, NY 11375-6533
Phone
(718) 261-0066
Fax
(718) 261-0067
NPI assigned
Nov 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2013

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

Authorized official

Name
Dr. Marilyn Fedge, AUD
Title
Audiologist
Phone
(718) 261-0066

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Aid Equipment 332S00000X 000142-1 NY Primary

Addresses

Primary practice location

11625 Queens Blvd
Forest Hills, NY 11375-6533

Mailing address

11625 Queens Blvd
Forest Hills, NY 11375-6533
Phone (718) 261-0066

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1383523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383523200000",
    "number": "1093144792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11625 QUEENS BLVD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113756533",
            "telephone_number": "718-261-0066",
            "fax_number": "718-261-0067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11625 QUEENS BLVD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113756533",
            "telephone_number": "718-261-0066",
            "fax_number": "718-261-0067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOULEVARD HEARING AID CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-04",
        "last_updated": "2013-11-04",
        "status": "A",
        "authorized_official_last_name": "FEDGE",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_title_or_position": "AUDIOLOGIST",
        "authorized_official_telephone_number": "718-261-0066",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "NY",
            "license": "000142-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2013; 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.