Individual provider Active NPI

Gayle Robert Nye

  • Audiologist
  • Belmont, MA
National Provider Identifier
1366531626
Registry record updated May 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
761 Issued in MA
Practice address
90 Concord Ave
Belmont, MA 02478-4046
Phone
(617) 484-8700
Fax
(617) 484-3043
NPI assigned
Oct 12, 2006
Last updated
May 12, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 761 MA Primary

Addresses

Primary practice location

90 Concord Ave
Belmont, MA 02478-4046

Mailing address

1519 Great Plain Ave
Needham, MA 02492-1217
Phone (781) 449-1345

Other identifiers 4

IdentifierTypeStateIssuer
478141OtherMATUFTS HEALTHCARE
AD0199OtherMABCBS
5100275MedicaidMA
AA143246OtherMAHARVARD PILGRIM HEALTHCARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070223000059 MA Practitioner - Qualified Audiologist 2163524034 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
David Kieff MD LLCGroup PAC ID 7517005911, 2 clinicians
Rosenberg Audiology IncGroup PAC ID 9335493329, 4 clinicians

Practice addresses (Care Compare)

65 Walnut St
Suite 320
Wellesley, MA 02481-2184
Phone (617) 997-2900

90 Concord Ave
Suite 4
Belmont, MA 02478-4049
Phone (617) 484-8700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
761MAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
David Kieff, MD, LLC CurrentSince Feb 1, 2024 Accepting new patients
Rosenberg Audiology Inc. CurrentSince Jun 25, 2018 Accepting new patients

Locations

90 Concord Ave
Belmont, MA 02478
Phone (617) 484-8700

90 Concord Ave
Ste 4
Belmont, MA 02478
Phone (617) 484-8700

65 Walnut St
Ste 320
Wellesley Hills, MA 02481
Phone (617) 997-2900

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2203/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242086400000",
    "number": "1366531626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1519 GREAT PLAIN AVE",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024921217",
            "telephone_number": "781-449-1345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 CONCORD AVE",
            "city": "BELMONT",
            "state": "MA",
            "postal_code": "024784046",
            "telephone_number": "617-484-8700",
            "fax_number": "617-484-3043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYE",
        "first_name": "GAYLE",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2009-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MA",
            "license": "761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTHCARE",
            "identifier": "478141",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "AD0199",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5100275",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTHCARE",
            "identifier": "AA143246",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belmont, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.