Individual provider Active NPI

Perry Constantino

  • Hearing Instrument Specialist
  • Lyndora, PA
National Provider Identifier
1134845902
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
D0069400 Issued in PA
Practice address
125 Whitestown Rd
Lyndora, PA 16045-1157
Phone
(724) 282-3250
Fax
(724) 282-3796
NPI assigned
Oct 13, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X D0069400 PA Primary

Addresses

Primary practice location

125 Whitestown Rd
Lyndora, PA 16045-1157

Mailing address

125 Whitestown Rd
Lyndora, PA 16045-1157
Phone (724) 282-3250

Other practice location 1

457 Liberty St
Grove City, PA 16127-2239
Phone (724) 450-0800

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

LicenseStateTypeSpecialty
D0069400PAMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
West Penn Hearing & Audiology PastSince Oct 16, 2022 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1665619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1134845902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 WHITESTOWN RD",
            "city": "LYNDORA",
            "state": "PA",
            "postal_code": "160451157",
            "telephone_number": "724-282-3250",
            "fax_number": "724-282-3796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 WHITESTOWN RD",
            "city": "LYNDORA",
            "state": "PA",
            "postal_code": "160451157",
            "telephone_number": "724-282-3250",
            "fax_number": "724-282-3796"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "457 Liberty St",
            "address_purpose": "LOCATION",
            "city": "Grove City",
            "state": "PA",
            "postal_code": "161272239",
            "country_code": "US",
            "telephone_number": "724-450-0800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONSTANTINO",
        "first_name": "PERRY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-13",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "PA",
            "license": "D0069400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lyndora, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; 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.