Organization Active NPI

Quality of Life Hearing Solutions

Doing business as Miracle Ear

  • Hearing and Speech Clinic/Center
  • Rego Park, NY
National Provider Identifier
1184943961
Registry record updated May 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
Legal business name
QUALITY OF LIFE HEARING SOLUTIONS
Doing business as
Miracle Ear
Practice address
96-05 Queens Blvd
Sears Miracle Ear
Rego Park, NY 11374
Phone
(718) 275-5954
Fax
(718) 275-5964
NPI assigned
May 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2010

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

Authorized official

Name
Mr. Paul Bochterle, BC-HIS
Title
Owner
Phone
(845) 238-5514

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X Primary

Addresses

Primary practice location

96-05 Queens Blvd
Sears Miracle Ear
Rego Park, NY 11374

Mailing address

581 State Route 17M
Monroe, NY 10950-3456
Phone (845) 238-5514

Other identifiers 1

IdentifierTypeStateIssuer
15000018410OtherNYDEPARTMENT OF STATE DIVISION OF LICENSING SERVICES

Other names 1

  • Miracle Ear Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Miracle Ear2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

581 State Route 17M
Monroe, NY 10950
Phone (845) 395-0909

NPI Registry JSON

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

{
    "created_epoch": "1274227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274227200000",
    "number": "1184943961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "581 STATE ROUTE 17M",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109503456",
            "telephone_number": "845-238-5514",
            "fax_number": "845-238-5516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96-05 QUEENS BLVD",
            "address_2": "SEARS MIRACLE EAR",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "11374",
            "telephone_number": "718-275-5954",
            "fax_number": "718-275-5964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY OF LIFE HEARING SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-19",
        "last_updated": "2010-05-19",
        "status": "A",
        "authorized_official_last_name": "BOCHTERLE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-238-5514",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BC-HIS"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF STATE DIVISION OF LICENSING SERVICES",
            "identifier": "15000018410",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miracle Ear",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rego Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2010; 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.