Queens Hearing Center, Inc.

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

Legal business name

QUEENS HEARING CENTER, INC.

Practice address

15814 Northern Blvd Ste Ml5A
Flushing, NY 11358-1600

Phone

(646) 596-5377

Fax

(718) 939-0955

NPI assigned

Jul 6, 2019

Organization subpart

No

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

Authorized official

Name

Jin Chang, AUD, PHDNPI 1538632294

Title

Audiologist

Phone

(646) 596-5377

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jin S Chang

  • Audiologist-Hearing Aid Fitter
  • Flushing, NY
  • NPI 1538632294
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1562371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610582400000",
    "number": "1306408745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15814 NORTHERN BLVD STE ML5A",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113581600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15814 NORTHERN BLVD STE ML5A",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113581600",
            "telephone_number": "646-596-5377",
            "fax_number": "718-939-0955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENS HEARING CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-06",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "JIN",
        "authorized_official_title_or_position": "AUDIOLOGIST",
        "authorized_official_telephone_number": "646-596-5377",
        "authorized_official_credential": "AUD, PHD"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Audiologist-Hearing Aid Fitter in Flushing, NY
• Providers in Flushing, NY by specialty
• Audiologist-Hearing Aid Fitter in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; 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.