Organization Active NPI

Dr Lewandowskis Infinity Hearing LLC

  • Medical Specialty Clinic/Center
  • Kittery, ME
National Provider Identifier
1174035810
Registry record updated Dec 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
AP2260 Issued in ME
Legal business name
DR LEWANDOWSKIS INFINITY HEARING LLC
Practice address
453 US Route 1
Kittery, ME 03904-5513
Phone
(207) 451-2700
NPI assigned
Nov 3, 2017
Last updated
Dec 11, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2017

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

Authorized official

Name
Matthew Thomas Lewandowski, AU.DNPI 1184061855
Title
Audiologist
Phone
(207) 451-2700

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
Medical Specialty Clinic/Center 261QM2500X AP2260 ME Primary

Addresses

Primary practice location

453 US Route 1
Kittery, ME 03904-5513

Mailing address

453 US Route 1
Kittery, ME 03904-5513
Phone (207) 451-2700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171114002678 ME Part B Supplier - Clinic/Group Practice 4789940321 Receives reassigned benefits from 2 practitioners
Practice locations: Kittery, ME; Sanford, ME

National Provider Directory

National Provider Directory

Locations

453 US Route 1
Kittery, ME 03904
Phone (207) 439-8391

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1509667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512950400000",
    "number": "1174035810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "453 US ROUTE 1",
            "city": "KITTERY",
            "state": "ME",
            "postal_code": "039045513",
            "telephone_number": "207-451-2700",
            "fax_number": "207-451-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "453 US ROUTE 1",
            "city": "KITTERY",
            "state": "ME",
            "postal_code": "039045513",
            "telephone_number": "207-451-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR LEWANDOWSKIS INFINITY HEARING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-03",
        "last_updated": "2017-12-11",
        "status": "A",
        "authorized_official_last_name": "LEWANDOWSKI",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "AUDIOLOGIST",
        "authorized_official_telephone_number": "207-451-2700",
        "authorized_official_credential": "AU.D"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "ME",
            "license": "AP2260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kittery, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2017; 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.