Organization Active NPI

North Shore Hearing Center, LLC

  • Audiologist
  • Amesbury, MA
National Provider Identifier
1437229028
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
241W Issued in MA
Legal business name
NORTH SHORE HEARING CENTER, LLC
Practice address
24 Morrill PL
2ND Floor
Amesbury, MA 01913-3530
Phone
(978) 462-9628
NPI assigned
Nov 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Charles J Elia, AUDIOLOGISTNPI 1265473029
Title
Owner Audiologist
Phone
(978) 462-9628

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 231H00000X 241W MA Primary

Addresses

Primary practice location

24 Morrill PL
2ND Floor
Amesbury, MA 01913-3530

Mailing address

24 Morrill PL
2ND Floor
Amesbury, MA 01913-3530
Phone (978) 462-9628

Other identifiers 7

IdentifierTypeStateIssuer
VC6000170931OtherMAMA. REHABILITATION
696651OtherMATUFT'S HEALTH PLAN
0006000010056AD002OtherMACOMMISSION FOR THE BLIND
9727469MedicaidMA
AG0021OtherMABLUE CROSS AND BLUE SHEIL
017166OtherMANEIGHBORHOOD HEALTH PLAN
36257OtherMAHARVARD PILGRIM

National Provider Directory

National Provider Directory
Tax ID family
North Shore Hearing Center LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

192 Merrimack St
Ste 5
Haverhill, MA 01830
Phone (978) 372-1939

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437229028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 MORRILL PL",
            "address_2": "2ND FLOOR",
            "city": "AMESBURY",
            "state": "MA",
            "postal_code": "019133530",
            "telephone_number": "978-462-9628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 MORRILL PL",
            "address_2": "2ND FLOOR",
            "city": "AMESBURY",
            "state": "MA",
            "postal_code": "019133530",
            "telephone_number": "978-462-9628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE HEARING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ELIA",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER AUDIOLOGIST",
        "authorized_official_telephone_number": "978-462-9628",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "AUDIOLOGIST"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": "MA",
            "license": "241W",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MA. REHABILITATION",
            "identifier": "VC6000170931",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFT'S HEALTH PLAN",
            "identifier": "696651",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMISSION FOR THE BLIND",
            "identifier": "0006000010056AD002",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9727469",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHEIL",
            "identifier": "AG0021",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PLAN",
            "identifier": "017166",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "36257",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amesbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.