Alysia S Moon, AU.D., CCC-A

Primary specialty

AudiologistTaxonomy code 231H00000X

License

166183 Issued in MA

Practice address

23 Warren Ave
Suite 130
Woburn, MA 01801-7906

Phone

(781) 573-3277

Fax

(781) 933-0478

NPI assigned

Apr 7, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Specialty

Qualified Audiologist

Education

Northwestern University Feinberg Medical School, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Moon Hearing Services, LLCGroup PAC ID 4082868963, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Moon Hearing Services LLC

  • Audiologist
  • Woburn, MA
  • NPI 1699010207
  Medicare reassignment Care Compare group NPD Authorized official
• Ear, Nose & Throat Consultants, Inc

  • Otolaryngology Physician
  • Woburn, MA
  • NPI 1942209655
  Medicare reassignment
• New England Spine Care Associates, LLC

  dba Winchester Spine Center

  • Physical Medicine & Rehabilitation Physician
  • Woburn, MA
  • NPI 1952312795
  NPD (past)

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

{
    "created_epoch": "1207526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356912000000",
    "number": "1235302720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 WARREN AVE.",
            "address_2": "SUITE 130",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018011851",
            "telephone_number": "781-573-3277",
            "fax_number": "781-933-0478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 WARREN AVE",
            "address_2": "SUITE 130",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018017906",
            "telephone_number": "781-573-3277",
            "fax_number": "781-933-0478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOON",
        "first_name": "ALYSIA",
        "middle_name": "S",
        "credential": "AU.D., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-07",
        "last_updated": "2012-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MA",
            "license": "166183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "M12237",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Montanaro, OMT
• Colleen D Montemarano, PT,MS,DPT
• Kathleen Kennedy Montgomery, LICSW CAC
• Robert H Montgomery, LICSW CADAC
• Moon Hearing Services LLC
• Kevin P Mooney, DDS
• Danielle Rose Morais, RN
• Moramarco Chiropractic Office, P.C.
• Moramarco Chiropractic Offices, PC
• Marc Michael Moramarco, D.C.

• Audiologist in Woburn, MA
• Providers in Woburn, MA by specialty
• Audiologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.