Individual provider Active NPI

Judith Marie Pierce, M.S.C.C.C-A

  • Audiologist-Hearing Aid Fitter
  • Riverhead, NY
National Provider Identifier
1407019821
Registry record updated Jul 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
001200-1 Issued in NY
Practice address
209 W Main St
2ND Floor
Riverhead, NY 11901-2828
Phone
(631) 727-7676
NPI assigned
Jul 7, 2008
Last updated
Jul 7, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 001200-1 NY Primary

Addresses

Primary practice location

209 W Main St
2ND Floor
Riverhead, NY 11901-2828

Mailing address

209 W Main St
2ND Floor
Riverhead, NY 11901-2828
Phone (631) 727-7676

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090310000430 NY Practitioner - Qualified Audiologist 5092871475 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001200-1NYMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology Services Company USA, LLC CurrentSince Feb 1, 2018 Accepting new patients
Audiology Services Company USA, LLC CurrentSince Feb 1, 2018 Accepting new patients
Quality Hearing Aid, Inc. Past Accepting new patients

Locations

2501 Cottontail Ln
Somerset, NJ 08873
Phone (732) 529-7120

515 Madison Ave
Rm 2302
New York, NY 10022
Phone (212) 421-0889

176 N Village Ave
Ste 1C
Rockville Ctr, NY 11570
Phone (516) 594-1068

Organizations & group practices 3

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": "1215388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215388800000",
    "number": "1407019821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 W MAIN ST",
            "address_2": "2ND FLOOR",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012828",
            "telephone_number": "631-727-7676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 W MAIN ST",
            "address_2": "2ND FLOOR",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012828",
            "telephone_number": "631-727-7676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "JUDITH",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "M.S.C.C.C-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-07",
        "last_updated": "2008-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NY",
            "license": "001200-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverhead, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2008; 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.