Active NPI
Moon Hearing Services LLC
- Audiologist
- Woburn, MA
National Provider Identifier
1699010207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 744
- Legal business name
- MOON HEARING SERVICES LLC
- Practice address
- 23 Warren Ave Ste 130
Woburn, MA 01801-4979 - Phone
- (781) 573-3277
- Fax
- (781) 933-0478
- NPI assigned
- Dec 7, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Alysia Moon, AUD, CCC-A
- Title
- Owner
- Phone
- (781) 573-3277
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 744 | MA | Primary |
Addresses
Primary practice location
23 Warren Ave Ste 130
Woburn, MA 01801-4979
Mailing address
23 Warren Ave Ste 130
Woburn, MA 01801-4979
Phone (781) 573-3277
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Audiologist
- Woburn, MA
- NPI 1235302720
-
- Audiologist
- Woburn, MA
- NPI 1073761847
-
- Audiologist
- Boston, MA
- NPI 1497241012
-
- Audiologist-Hearing Aid Fitter
- Laconia, NH
- NPI 1598768558
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354838400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1354838400000",
"number": "1699010207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 WARREN AVE STE 130",
"city": "WOBURN",
"state": "MA",
"postal_code": "018014979",
"telephone_number": "781-573-3277",
"fax_number": "781-933-0478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 WARREN AVE STE 130",
"city": "WOBURN",
"state": "MA",
"postal_code": "018014979",
"telephone_number": "781-573-3277",
"fax_number": "781-933-0478"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOON HEARING SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-12-07",
"last_updated": "2012-12-07",
"status": "A",
"authorized_official_last_name": "MOON",
"authorized_official_first_name": "ALYSIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "781-573-3277",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "AUD, CCC-A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Audiologist",
"state": "MA",
"license": "744",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woburn, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2012; 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.