Active NPI
Audiology Assoc of Worcester
- Audiologist-Hearing Aid Fitter
- Worcester, MA
National Provider Identifier
1114086741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- Legal business name
- AUDIOLOGY ASSOC OF WORCESTER
- Practice address
- 130 Lincoln Street
Worcester, MA 01605-2430 - Phone
- (508) 792-9293
- Fax
- (508) 798-7989
- NPI assigned
- Dec 8, 2006
- 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
- Marcia S Dean, AUD FAAA
- Title
- President
- Phone
- (508) 792-9293
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | |||
| Assistive Technology Practitioner Audiologist | 231HA2400X | |||
| Assistive Technology Supplier Audiologist | 231HA2500X | |||
| Audiologist-Hearing Aid Fitter | 237600000X | Primary |
Addresses
Primary practice location
130 Lincoln Street
Worcester, MA 01605-2430
Mailing address
130 Lincoln Street
Worcester, MA 01605-2430
Phone (508) 792-9293
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1531468 | Medicaid | MA | |
| AD0041 | Other | MA | BC BS |
National Provider Directory
National Provider DirectoryLocations
130 Lincoln St
Worcester, MA 01605
Phone (508) 792-9293
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1114086741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 LINCOLN STREET",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016052430",
"telephone_number": "508-792-9293",
"fax_number": "508-798-7989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 LINCOLN STREET",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016052430",
"telephone_number": "508-792-9293",
"fax_number": "508-798-7989"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AUDIOLOGY ASSOC OF WORCESTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-08",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "DEAN",
"authorized_official_first_name": "MARCIA",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "508-792-9293",
"authorized_official_credential": "AUD FAAA"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Audiologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "231HA2400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Audiologist, Assistive Technology Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "231HA2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Audiologist, Assistive Technology Supplier",
"state": null,
"license": null,
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Audiologist-Hearing Aid Fitter",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1531468",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS",
"identifier": "AD0041",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.