Active NPI
Northeast Hearing LLC
Doing business as Miracle Ear
- Hearing Aid Equipment
- Wethersfield, CT
National Provider Identifier
1417189762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Aid Equipment
- Legal business name
- NORTHEAST HEARING LLC
- Doing business as
- Miracle Ear
- Practice address
- 1206 Silas Deane Hwy
Unit 32
Wethersfield, CT 06109-4328 - Phone
- (860) 757-3636
- Fax
- (860) 757-3939
- NPI assigned
- Aug 20, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jason Frasier
- Title
- Hearing Instrument Specialist
- Phone
- (860) 678-0383
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Aid Equipment | 332S00000X | Primary |
Addresses
Primary practice location
1206 Silas Deane Hwy
Unit 32
Wethersfield, CT 06109-4328
Mailing address
131 Enterprise Rd
Johnstown, NY 12095-3326
Phone (401) 353-4174
Other names 1
- Miracle Ear
National Provider Directory
National Provider Directory- Tax ID family
- Northeast Hearing LLC
Other organizations with this tax ID 15
Organizations that report the same tax identification number in the National Provider Directory.
Locations
1206 Silas Deane Hwy
Unit 32
Wethersfield, CT 06109
Phone (860) 757-3636
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250726400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1610409600000",
"number": "1417189762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "131 ENTERPRISE RD",
"city": "JOHNSTOWN",
"state": "NY",
"postal_code": "120953326",
"telephone_number": "401-353-4174",
"fax_number": "401-488-5774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1206 SILAS DEANE HWY",
"address_2": "UNIT 32",
"city": "WETHERSFIELD",
"state": "CT",
"postal_code": "061094328",
"telephone_number": "860-757-3636",
"fax_number": "860-757-3939"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHEAST HEARING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-08-20",
"last_updated": "2021-01-12",
"certification_date": "2021-01-12",
"status": "A",
"authorized_official_last_name": "FRASIER",
"authorized_official_first_name": "JASON",
"authorized_official_title_or_position": "HEARING INSTRUMENT SPECIALIST",
"authorized_official_telephone_number": "860-678-0383"
},
"taxonomies": [
{
"code": "332S00000X",
"taxonomy_group": "",
"desc": "Hearing Aid Equipment",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Miracle Ear",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Miracle Ear",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Wethersfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.