Individual provider Active NPI

Alexandra Morena Burgess, AU.D

  • Audiologist
  • Cheshire, CT
National Provider Identifier
1629429519
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
742 Issued in CT
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20230718003990 CT Practitioner - Qualified Audiologist 5799079943 Reassigns benefits to 1 organization

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
Best Life Hearing Center, LLCGroup PAC ID 7113269028, 5 clinicians

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

LicenseStateTypeSpecialty
002708NYMDAudiologist
14000051304NYMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Best Life Hearing Center, LLC Audiologist CurrentSince Jul 7, 2023 Accepting new patients
North Jersey Otolaryngology-Head and Neck Surgery,PA PastSince Jul 5, 2016 Accepting new patients
The Hearing Center, LLC Audiologist PastSince Feb 17, 2003 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.

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.

Verify at the official NPI Registry.