NPIMap

Organization Active NPI

New Hampshire Hearing and Balance, LLC

  • Audiologist
  • Greenland, NH
National Provider Identifier
1457557423
Registry record updated Nov 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
167 Issued in NH
Legal business name
NEW HAMPSHIRE HEARING AND BALANCE, LLC
Practice address
655 Portsmouth Ave
Greenland, NH 03840-2264
Phone
(603) 436-4655
NPI assigned
Jun 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2015

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

Authorized official

Name
Dr. Sally Woodie Fodero, AU.D.
Title
Owner
Phone
(603) 436-4655

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251N0400X
AudiologistGroup: 193200000X MULTI-SPECIALTY GROUP 231H00000X 167 NH Primary

Addresses

Primary practice location

655 Portsmouth Ave
Greenland, NH 03840-2264

Mailing address

655 Portsmouth Ave
Greenland, NH 03840-2264
Phone (603) 436-4655

Other names 1

  • Sally Fodero Doing business as

National Provider Directory

National Provider Directory

Locations

655 Portsmouth Ave
Ste 6
Greenland, NH 03840

Practitioners & affiliated clinicians

Practitioners 7

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": "1182816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447718400000",
    "number": "1457557423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 PORTSMOUTH AVE",
            "city": "GREENLAND",
            "state": "NH",
            "postal_code": "038402264",
            "telephone_number": "603-436-4655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 PORTSMOUTH AVE",
            "city": "GREENLAND",
            "state": "NH",
            "postal_code": "038402264",
            "telephone_number": "603-436-4655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HAMPSHIRE HEARING AND BALANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-26",
        "last_updated": "2015-11-17",
        "status": "A",
        "authorized_official_last_name": "FODERO",
        "authorized_official_first_name": "SALLY",
        "authorized_official_middle_name": "WOODIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-436-4655",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": "NH",
            "license": "167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sally Fodero",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenland, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2015; 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.