Active NPI
Brenda E Cervini, HAD
- Hearing Instrument Specialist
- Webster, NY
National Provider Identifier
1538645528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- 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, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14000039997 | Other | NY | HAD 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.