Individual provider Active NPI

Sean M Obrien, BC-HIS

  • Hearing Instrument Specialist
  • Elmira, NY
National Provider Identifier
1336940006
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
14000009099 Issued in NY
Practice address
2064 Lake Rd
Elmira, NY 14903-1857
Phone
(607) 734-3329
Fax
(607) 300-1161
NPI assigned
Mar 20, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 14000009099 NY Primary

Addresses

Primary practice location

2064 Lake Rd
Elmira, NY 14903-1857

Mailing address

2064 Lake Rd
Elmira, NY 14903-1857
Phone (607) 734-3329

Other practice location 1

115 W Market St
Corning, NY 14830-2590
Phone (607) 973-2458

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
14000009099NYMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Abg Hearing Associates LLC CurrentSince Mar 24, 2025 Accepting new patients

Locations

2064 Lake Rd
Elmira, NY 14903
Phone (607) 731-2980

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1742428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1336940006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2064 LAKE RD",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149031857",
            "telephone_number": "607-734-3329",
            "fax_number": "607-300-1161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2064 LAKE RD",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149031857",
            "telephone_number": "607-734-3329",
            "fax_number": "607-300-1161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 W Market St",
            "address_purpose": "LOCATION",
            "city": "Corning",
            "state": "NY",
            "postal_code": "148302590",
            "country_code": "US",
            "telephone_number": "607-973-2458",
            "fax_number": "607-300-1161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OBRIEN",
        "first_name": "SEAN",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "BC-HIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-03-20",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "NY",
            "license": "14000009099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmira, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; 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.