Organization Active NPI

Ear Care Hearing Aid Centers Pine Bush

  • Hearing Aid Equipment
  • Pine Bush, NY
National Provider Identifier
1346459740
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Aid EquipmentTaxonomy code 332S00000X
License
14000018982 Issued in NY
Legal business name
EAR CARE HEARING AID CENTERS PINE BUSH
Practice address
6 Boniface Drive
Suite 3
Pine Bush, NY 12566
Phone
(845) 744-3355
Fax
(845) 744-3351
NPI assigned
May 22, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Daniel Brecheisen
Title
Owner
Phone
(845) 744-3355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Aid Equipment 332S00000X 14000018982 NY Primary

Addresses

Primary practice location

6 Boniface Drive
Suite 3
Pine Bush, NY 12566

Mailing address

6 Boniface Drive
Suite 3
Pine Bush, NY 12566
Phone (845) 744-3355

Other identifiers 1

IdentifierTypeStateIssuer
02660635MedicaidNY

National Provider Directory

National Provider Directory

Locations

6 Boniface Dr
#3
Pine Bush, NY 12566
Phone (845) 744-3355

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346459740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 BONIFACE DRIVE",
            "address_2": "SUITE 3",
            "city": "PINE BUSH",
            "state": "NY",
            "postal_code": "12566",
            "telephone_number": "845-744-3355",
            "fax_number": "845-744-3351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 BONIFACE DRIVE",
            "address_2": "SUITE 3",
            "city": "PINE BUSH",
            "state": "NY",
            "postal_code": "12566",
            "telephone_number": "845-744-3355",
            "fax_number": "845-744-3351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAR CARE HEARING AID CENTERS PINE BUSH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRECHEISEN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-744-3355",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "NY",
            "license": "14000018982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02660635",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pine Bush, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.