Individual provider Active NPI

Brenda E Cervini, HAD

  • Hearing Instrument Specialist
  • Webster, NY
National Provider Identifier
1538645528
Registry record updated Jul 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
Practice address
1760 Empire Blvd
Webster, NY 14580-2179
Phone
(585) 787-1385
Fax
(585) 787-1385
NPI assigned
Jul 13, 2018
Last updated
Jul 13, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X NU Primary

Addresses

Primary practice location

1760 Empire Blvd
Webster, NY 14580-2179

Mailing address

115 Route 46 Ste G51
Mountain Lakes, NJ 07046-1676
Phone (973) 588-7266

Other practice location 1

3019 Monroe Ave Ste 101
Rochester, NY 14618-4603
Phone (585) 385-0877

Other identifiers 1

IdentifierTypeStateIssuer
14000039997OtherNYHAD LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1531440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531440000000",
    "number": "1538645528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 ROUTE 46 STE G51",
            "city": "MOUNTAIN LAKES",
            "state": "NJ",
            "postal_code": "070461676",
            "telephone_number": "973-588-7266",
            "fax_number": "973-588-7268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 EMPIRE BLVD",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145802179",
            "telephone_number": "585-787-1385",
            "fax_number": "585-787-1385"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3019 Monroe Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146184603",
            "country_code": "US",
            "telephone_number": "585-385-0877",
            "fax_number": "585-310-7655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CERVINI",
        "first_name": "BRENDA",
        "middle_name": "E",
        "credential": "HAD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-13",
        "last_updated": "2018-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAD LICENSE",
            "identifier": "14000039997",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2018; 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.