NPIMap

Organization Active NPI

Vineyard Audiology

  • Audiologist-Hearing Aid Fitter
  • W. Tisbury, MA
National Provider Identifier
1639822182
Registry record updated Sep 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
Legal business name
VINEYARD AUDIOLOGY
Practice address
20 Indian Hill Road
W. Tisbury, MA 02575
Phone
(508) 696-4600
NPI assigned
Feb 3, 2022
Last updated
Sep 28, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2022

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

Authorized official

Name
Dr. Lesley Segal, AUDNPI 1659571875
Title
Audiologist
Phone
(508) 696-4600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X NU Primary

Addresses

Primary practice location

20 Indian Hill Road
W. Tisbury, MA 02575

Mailing address

PO Box 2095
Vineyard Haven, MA 02568-0915
Phone (508) 696-4600

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1643846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664323200000",
    "number": "1639822182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2095",
            "city": "VINEYARD HAVEN",
            "state": "MA",
            "postal_code": "025680915",
            "telephone_number": "508-696-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 INDIAN HILL ROAD",
            "city": "W. TISBURY",
            "state": "MA",
            "postal_code": "02575",
            "telephone_number": "508-696-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINEYARD AUDIOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-03",
        "last_updated": "2022-09-28",
        "certification_date": "2022-08-17",
        "status": "A",
        "authorized_official_last_name": "SEGAL",
        "authorized_official_first_name": "LESLEY",
        "authorized_official_title_or_position": "AUDIOLOGIST",
        "authorized_official_telephone_number": "508-696-4600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in W. Tisbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; 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.