Organization Active NPI

Moon Hearing Services LLC

  • Audiologist
  • Woburn, MA
National Provider Identifier
1699010207
Registry record updated Dec 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
744 Issued in MA
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

Updated by the provider on Dec 7, 2012

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

Authorized official

Name
Dr. Alysia Moon, AUD, CCC-ANPI 1235302720
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)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20130130000098 MA Part B Supplier - Clinic/Group Practice 4082868963 Receives reassigned benefits from 3 practitioners
Practice locations: Woburn, MA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.