Organization Active NPI

Suburban Audiology and Balance Center, LLC

  • Audiologist
  • Paoli, PA
National Provider Identifier
1487805230
Registry record updated Feb 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AT001014L Issued in PA
Legal business name
SUBURBAN AUDIOLOGY AND BALANCE CENTER, LLC
Practice address
11 Industrial Blvd
Suite 102
Paoli, PA 19301-1632
Phone
(610) 647-3710
Fax
(610) 647-6851
NPI assigned
Oct 9, 2008
Last updated
Feb 5, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2010

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

Authorized official

Name
Dr. Andrew Alexander Macielinski, AU.D.NPI 1336194216
Title
Audiologist/Owner
Phone
(610) 647-3710

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AT001014L PA Primary

Addresses

Primary practice location

11 Industrial Blvd
Suite 102
Paoli, PA 19301-1632

Mailing address

11 Industrial Blvd
Suite 102
Paoli, PA 19301-1632
Phone (610) 647-3710

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1223510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265328000000",
    "number": "1487805230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 INDUSTRIAL BLVD",
            "address_2": "SUITE 102",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011632",
            "telephone_number": "610-647-3710",
            "fax_number": "610-647-6851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 INDUSTRIAL BLVD",
            "address_2": "SUITE 102",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011632",
            "telephone_number": "610-647-3710",
            "fax_number": "610-647-6851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN AUDIOLOGY AND BALANCE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-09",
        "last_updated": "2010-02-05",
        "status": "A",
        "authorized_official_last_name": "MACIELINSKI",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "AUDIOLOGIST/OWNER",
        "authorized_official_telephone_number": "610-647-3710",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "PA",
            "license": "AT001014L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paoli, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2010; 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.