Active NPI
Alexandra Morena Burgess, AU.D
- Audiologist
- Cheshire, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 742
- Practice address
- 415 Highland Ave Ste 2
Cheshire, CT 06410-2557 - Phone
- (203) 272-4512
- Fax
- (203) 272-4517
- NPI assigned
- Jun 22, 2016
- Last updated
- Jul 6, 2023
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 2201001863 | VA | |
| Audiologist | 231H00000X | 002708 | NY | |
| Audiologist | 231H00000X | 742 | CT | Primary |
| Audiologist-Hearing Aid Fitter | 237600000X | 14000051304 | NY |
Addresses
Primary practice location
415 Highland Ave Ste 2
Cheshire, CT 06410-2557
Mailing address
850 N Main Street Ext Ste 1C
Wallingford, CT 06492-2487
Phone (203) 741-9943
Other practice location 1
850 N Main Street Ext Ste 1C
Wallingford, CT 06492-2487
Phone (203) 741-9943
Other practice location 2
149 Wakelee Ave
Ansonia, CT 06401-1176
Phone (203) 735-4327
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
415 Highland Ave
Suite 2
Cheshire, CT 06410-2557
Phone (203) 272-4512
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002708 | NY | MD | Audiologist |
| 14000051304 | NY | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Best Life Hearing Center, LLC | Audiologist | Current | Accepting new patients |
| North Jersey Otolaryngology-Head and Neck Surgery,PA | Past | Accepting new patients | |
| The Hearing Center, LLC | Audiologist | Past | Accepting new patients |
Locations
149 Wakelee Ave
Ansonia, CT 06401
Phone (203) 735-4327
415 Highland Ave
Ste 2
Cheshire, CT 06410
Phone (203) 272-4512
850 N Main Street Ext
Ste 1C
Wallingford, CT 06492
Phone (203) 269-0885
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Audiologist
- Wallingford, CT
- NPI 1649734476
-
- Audiologist
- Ansonia, CT
- NPI 1952425613
-
- Specialist
- Clifton, NJ
- NPI 1902029416
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688601600000",
"number": "1629429519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 N MAIN STREET EXT STE 1C",
"city": "WALLINGFORD",
"state": "CT",
"postal_code": "064922487",
"telephone_number": "203-741-9943",
"fax_number": "203-741-9167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 HIGHLAND AVE STE 2",
"city": "CHESHIRE",
"state": "CT",
"postal_code": "064102557",
"telephone_number": "203-272-4512",
"fax_number": "203-272-4517"
}
],
"practiceLocations": [
{
"address_1": "850 N Main Street Ext Ste 1C",
"address_purpose": "LOCATION",
"city": "Wallingford",
"state": "CT",
"postal_code": "064922487",
"country_code": "US",
"telephone_number": "203-741-9943",
"fax_number": "203-741-9167",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "149 Wakelee Ave",
"address_purpose": "LOCATION",
"city": "Ansonia",
"state": "CT",
"postal_code": "064011176",
"country_code": "US",
"telephone_number": "203-735-4327",
"fax_number": "203-735-2539",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURGESS",
"first_name": "ALEXANDRA",
"middle_name": "MORENA",
"credential": "AU.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-22",
"last_updated": "2023-07-06",
"certification_date": "2023-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "VA",
"license": "2201001863",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NY",
"license": "002708",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CT",
"license": "742",
"primary": true
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "NY",
"license": "14000051304",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cheshire, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.