Active NPI
John Christ
- Hearing Instrument Specialist
- Mohegan Lake, NY
National Provider Identifier
1104161447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 14000022857
- Practice address
- 1739 E Main St
Mohegan Lake, NY 10547-1356 - Phone
- (914) 214-8190
- NPI assigned
- Nov 27, 2012
- Last updated
- Sep 15, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 14000022857 | NY | Primary |
Addresses
Primary practice location
1739 E Main St
Mohegan Lake, NY 10547-1356
Mailing address
12 Justin CT
Cortlandt Manor, NY 10567-5235
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 |
|---|---|---|---|
| 14000022857 | NY | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A.S.F. Hearing Aid Centers, Inc. | Hearing Instrument Specialist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Miracle-Ear
- Hearing Instrument Specialist
- Mohegan Lake, NY
- NPI 1588008056
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473897600000",
"number": "1104161447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 JUSTIN CT",
"city": "CORTLANDT MANOR",
"state": "NY",
"postal_code": "105675235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1739 E MAIN ST",
"city": "MOHEGAN LAKE",
"state": "NY",
"postal_code": "105471356",
"telephone_number": "914-214-8190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRIST",
"first_name": "JOHN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-11-27",
"last_updated": "2016-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "NY",
"license": "14000022857",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mohegan Lake, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.