Organization Active NPI

Hearing Aid Works Audiology PLLC

  • Audiologist-Hearing Aid Fitter
  • Rochester, NY
National Provider Identifier
1124428958
Registry record updated Sep 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
002261 Issued in NY
Legal business name
HEARING AID WORKS AUDIOLOGY PLLC
Practice address
2479 Browncroft Blvd.
Rochester, NY 14625-1431
Phone
(585) 348-9886
Fax
(585) 485-0660
NPI assigned
Aug 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2016

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

Authorized official

Name
Dr. Carolynne M Pouliot, AU.D.NPI 1033358155
Title
President
Phone
(585) 507-5237

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid FitterGroup: 193200000X MULTI-SPECIALTY GROUP 237600000X 002261 NY Primary

Addresses

Primary practice location

2479 Browncroft Blvd.
Rochester, NY 14625-1431

Mailing address

2479 Browncroft Blvd.
Rochester, NY 14625-1431
Phone (585) 348-9886

Other identifiers 1

IdentifierTypeStateIssuer
03962085MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160427000373 NY Part B Supplier - Clinic/Group Practice 6709185663 Receives reassigned benefits from 1 practitioner
Practice locations: Rochester, NY

National Provider Directory

National Provider Directory

Locations

2479 Browncroft Blvd
Rochester, NY 14625
Phone (585) 348-9886

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1409270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472774400000",
    "number": "1124428958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2479 BROWNCROFT BLVD.",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146251431",
            "telephone_number": "585-348-9886",
            "fax_number": "585-485-0660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2479 BROWNCROFT BLVD.",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146251431",
            "telephone_number": "585-348-9886",
            "fax_number": "585-485-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARING AID WORKS AUDIOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-29",
        "last_updated": "2016-09-02",
        "status": "A",
        "authorized_official_last_name": "POULIOT",
        "authorized_official_first_name": "CAROLYNNE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "585-507-5237",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NY",
            "license": "002261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03962085",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.