Active NPI
Ernest A Watson, AAS, BH-HIS, ACA
- Hearing Instrument Specialist
- Kingston, NY
National Provider Identifier
1356416150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 14000004764
- Practice address
- 1 Albany Ave
Suite G-8
Kingston, NY 12401-2946 - Phone
- (845) 338-3934
- Fax
- (845) 338-3772
- NPI assigned
- Nov 21, 2006
- Last updated
- Aug 6, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 14000004764 | NY | Primary |
Addresses
Primary practice location
1 Albany Ave
Suite G-8
Kingston, NY 12401-2946
Mailing address
1 Albany Ave
Suite G-8
Kingston, NY 12401-2946
Phone (845) 338-3934
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 443850 | Other | NY | WELLCARE |
| 02653661 | Medicaid | NY |
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
- Credentials
- Associate of Applied Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14000004764 | NY | MD | Hearing Instrument Specialist |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Riverside Hearing Aid Service
- Hearing Instrument Specialist
- Kingston, NY
- NPI 1093087967
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1249516800000",
"number": "1356416150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 ALBANY AVE",
"address_2": "SUITE G-8",
"city": "KINGSTON",
"state": "NY",
"postal_code": "124012946",
"telephone_number": "845-338-3934",
"fax_number": "845-338-3772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 ALBANY AVE",
"address_2": "SUITE G-8",
"city": "KINGSTON",
"state": "NY",
"postal_code": "124012946",
"telephone_number": "845-338-3934",
"fax_number": "845-338-3772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "ERNEST",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "AAS, BH-HIS, ACA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-21",
"last_updated": "2009-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "NY",
"license": "14000004764",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "443850",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02653661",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kingston, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.