Active NPI
Northeast Hearing LLC
Doing business as Miracle Ear
- Hearing Aid Equipment
- Waterbury, CT
National Provider Identifier
1114159480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Aid Equipment
- Legal business name
- NORTHEAST HEARING LLC
- Doing business as
- Miracle Ear
- Practice address
- 160 Kukas LN
Unit 3
Waterbury, CT 06705-2624 - Phone
- (203) 597-8420
- Fax
- (203) 597-1930
- NPI assigned
- Aug 19, 2009
- Last updated
- Jan 12, 2021
- 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
- Jason Frasier
- Title
- Hearing Instrument Specialist
- Phone
- (203) 597-8420
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Aid Equipment | 332S00000X | 411 | CT | |
| Hearing Aid Equipment | 332S00000X | NU | Primary |
Addresses
Primary practice location
160 Kukas LN
Unit 3
Waterbury, CT 06705-2624
Mailing address
131 Enterprise Rd
Johnstown, NY 12095-3326
Phone (401) 353-4174
Other names 1
- Miracle Ear
National Provider Directory
National Provider Directory- Tax ID family
- Northeast Hearing LLC
Other organizations with this tax ID 15
Organizations that report the same tax identification number in the National Provider Directory.
Locations
160 Kukas Ln
Ste 3
Waterbury, CT 06705
Phone (203) 597-8420
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250640000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1610409600000",
"number": "1114159480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "131 ENTERPRISE RD",
"city": "JOHNSTOWN",
"state": "NY",
"postal_code": "120953326",
"telephone_number": "401-353-4174",
"fax_number": "401-488-5774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 KUKAS LN",
"address_2": "UNIT 3",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067052624",
"telephone_number": "203-597-8420",
"fax_number": "203-597-1930"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHEAST HEARING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-08-19",
"last_updated": "2021-01-12",
"certification_date": "2021-01-12",
"status": "A",
"authorized_official_last_name": "FRASIER",
"authorized_official_first_name": "JASON",
"authorized_official_title_or_position": "HEARING INSTRUMENT SPECIALIST",
"authorized_official_telephone_number": "203-597-8420"
},
"taxonomies": [
{
"code": "332S00000X",
"taxonomy_group": "",
"desc": "Hearing Aid Equipment",
"state": "CT",
"license": "411",
"primary": false
},
{
"code": "332S00000X",
"taxonomy_group": "",
"desc": "Hearing Aid Equipment",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Miracle Ear",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Miracle Ear",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Waterbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.