North Shore Hearing, P.C.

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

00-1371 Issued in NY

Legal business name

NORTH SHORE HEARING, P.C.

Practice address

45 Sherwood Dr
Shoreham, NY 11786-2053

Phone

(631) 764-3017

Fax

(631) 425-4670

NPI assigned

Oct 31, 2011

Last updated

Oct 31, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Diane Faulknor, M.A., CCC/A

Title

Owner/Audiologist

Phone

(631) 403-4885

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

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.

• Diane Rutkowsky, M.A.

  • Audiologist
  • Mount Sinai, NY
  • NPI 1033258363
  Medicare reassignment

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

{
    "created_epoch": "1320019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320019200000",
    "number": "1548546807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 SHERWOOD DR",
            "city": "SHOREHAM",
            "state": "NY",
            "postal_code": "117862053",
            "telephone_number": "631-764-3017",
            "fax_number": "631-425-4670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 SHERWOOD DR",
            "city": "SHOREHAM",
            "state": "NY",
            "postal_code": "117862053",
            "telephone_number": "631-764-3017",
            "fax_number": "631-425-4670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE HEARING, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-31",
        "last_updated": "2011-10-31",
        "status": "A",
        "authorized_official_last_name": "FAULKNOR",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "OWNER/AUDIOLOGIST",
        "authorized_official_telephone_number": "631-403-4885",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A., CCC/A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NY",
            "license": "00-1371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Suzanne Minetti
• Joel Morgenstern, MD
• Fallon Moscicki, PHD
• Elizabeth Ann Nappo, LPN
• Kimberly Nobre
• Jalise Joanna Norwood, LPN
• Kelly Ann Olivieri
• Annmarie Pandullo
• Patriot Medical Supply, LLC
• Meghan Phillips, L-MSW

• Audiologist-Hearing Aid Fitter in Shoreham, NY
• Providers in Shoreham, NY by specialty
• Audiologist-Hearing Aid Fitter in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.