Robert Brastoff

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

03179 Issued in OH

Practice address

5010 Grande Shops Ave # J1
Medina, OH 44256-6786

Phone

(440) 846-9311

Fax

(440) 846-0304

NPI assigned

Nov 25, 2013

Last updated

Nov 25, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1385337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385337600000",
    "number": "1417387606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11260 CHESTER RD",
            "address_2": "STE 425",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452464048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 GRANDE SHOPS AVE # J1",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442566786",
            "telephone_number": "440-846-9311",
            "fax_number": "440-846-0304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRASTOFF",
        "first_name": "ROBERT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-25",
        "last_updated": "2013-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "OH",
            "license": "03179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hearing Instrument Specialist in Medina, OH
• Providers in Medina, OH by specialty
• Hearing Instrument Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2013; 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.