Active NPI
Suburban Audiology and Balance Center, LLC
- Audiologist
- Paoli, PA
National Provider Identifier
1487805230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AT001014L
- 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, 2010
- 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
- Dr. Andrew Alexander Macielinski, AU.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.
-
- Audiologist
- Paoli, PA
- NPI 1336194216
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.