Organization Active NPI

Providence Hearing Aid Center

  • Audiologist
  • Chester, PA
National Provider Identifier
1205093630
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
D00273 Issued in PA
Legal business name
PROVIDENCE HEARING AID CENTER
Practice address
2112 Providence Ave
Chester, PA 19013
Phone
(610) 874-5366
Fax
(610) 874-8448
NPI assigned
May 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2008

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

Authorized official

Name
Debra Rosen, MA CCCA
Title
Audiologist
Phone
(610) 874-5366

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X D00273 PA Primary

Addresses

Primary practice location

2112 Providence Ave
Chester, PA 19013

Mailing address

2112 Providence Ave
Chester, PA 19013
Phone (610) 874-5366

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230705000024 PA Part B Supplier - Clinic/Group Practice 0446619795 Receives reassigned benefits from 9 practitioners
Practice locations: Glen Mills, PA; Media, PA; Chester, PA

National Provider Directory

National Provider Directory

Locations

500 Evergreen Dr
Ste 18
Glen Mills, PA 19342
Phone (610) 459-3495

Practitioners & affiliated clinicians

Practitioners 11

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": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1205093630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 PROVIDENCE AVE",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "19013",
            "telephone_number": "610-874-5366",
            "fax_number": "610-874-8448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 PROVIDENCE AVE",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "19013",
            "telephone_number": "610-874-5366",
            "fax_number": "610-874-8448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE HEARING AID CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-22",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "ROSEN",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "AUDIOLOGIST",
        "authorized_official_telephone_number": "610-874-5366",
        "authorized_official_credential": "MA CCCA"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "PA",
            "license": "D00273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; 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.