Individual provider Active NPI

Jennifer Mayer Albino, AU.D. CCC-A

  • Audiologist
  • Weymouth, MA
National Provider Identifier
1649220062
Registry record updated Oct 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
646 Issued in MA
Practice address
541 Main St
Suite 418
Weymouth, MA 02190-1868
Phone
(781) 337-6860
Fax
(781) 337-2013
NPI assigned
May 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 646 MA Primary

Addresses

Primary practice location

541 Main St
Suite 418
Weymouth, MA 02190-1868

Mailing address

541 Main St
Suite 418
Weymouth, MA 02190-1868
Phone (781) 337-6860

Other identifiers 1

IdentifierTypeStateIssuer
5103258MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051121000259 MA Practitioner - Qualified Audiologist 0345269288 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Shore Hearing Center LLCGroup PAC ID 0042513780, 9 clinicians

Practice addresses (Care Compare)

541 Main St
Suite 418
Weymouth, MA 02190-1845
Phone (781) 337-6860

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
646MAMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
South Shore Hearing Center, LLC Audiologist CurrentSince Jan 4, 2016 Accepting new patients
Audiology Distribution, LLC Past Accepting new patients
Hearusa Inc Past Accepting new patients

Locations

197 Rockland St
Ste 3
Hanover, MA 02339
Phone (781) 337-6860

541 Main St
Ste 418
Weymouth, MA 02190
Phone (781) 337-6860

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508198400000",
    "number": "1649220062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 MAIN ST",
            "address_2": "SUITE 418",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021901868",
            "telephone_number": "781-337-6860",
            "fax_number": "781-337-2013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 MAIN ST",
            "address_2": "SUITE 418",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021901868",
            "telephone_number": "781-337-6860",
            "fax_number": "781-337-2013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYER ALBINO",
        "first_name": "JENNIFER",
        "credential": "AU.D. CCC-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2017-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MA",
            "license": "646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5103258",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weymouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2017; 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.