NPIMap

Organization Active NPI

South Shore Hearing Center, LLC

  • Audiologist
  • Weymouth, MA
National Provider Identifier
1255707501
Registry record updated Oct 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
646 Issued in MA
Legal business name
SOUTH SHORE HEARING CENTER, LLC
Practice address
541 Main St Ste 418
Weymouth, MA 02190-1845
Phone
(781) 337-6860
Fax
(781) 337-2103
NPI assigned
Aug 20, 2015
Last updated
Oct 17, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2017

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

Authorized official

Name
Dr. Jennifer Mayer, AU.D.
Title
Audiologist
Phone
(617) 794-3988

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 646 MA Primary

Addresses

Primary practice location

541 Main St Ste 418
Weymouth, MA 02190-1845

Mailing address

320 Country Way
Scituate, MA 02066-3760
Phone (617) 794-3988

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160129001092 MA Part B Supplier - Clinic/Group Practice 0042513780 Receives reassigned benefits from 9 practitioners
Practice locations: Hanover, MA; Sharon, MA; Weymouth, MA

National Provider Directory

National Provider Directory

Locations

197 Rockland St
Ste 3
Hanover, MA 02339
Phone (781) 337-6860

450 N Main St
Ste 5
Sharon, MA 02067
Phone (617) 779-0136

Practitioners & affiliated clinicians

Practitioners 9

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": "1440028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508198400000",
    "number": "1255707501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 COUNTRY WAY",
            "city": "SCITUATE",
            "state": "MA",
            "postal_code": "020663760",
            "telephone_number": "617-794-3988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 MAIN ST STE 418",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021901845",
            "telephone_number": "781-337-6860",
            "fax_number": "781-337-2103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SHORE HEARING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-20",
        "last_updated": "2017-10-17",
        "status": "A",
        "authorized_official_last_name": "MAYER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "AUDIOLOGIST",
        "authorized_official_telephone_number": "617-794-3988",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MA",
            "license": "646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weymouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.