Active NPI
Kenneth Charles Pruyn Jr.
- Hearing Instrument Specialist
- Marlborough, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 254
- Practice address
- 67 Forest St Ste 350-25
Marlborough, MA 01752-3195 - Phone
- (508) 794-3620
- Fax
- (508) 205-0291
- NPI assigned
- Nov 6, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 254 | MA | Primary |
Addresses
Primary practice location
67 Forest St Ste 350-25
Marlborough, MA 01752-3195
Mailing address
20 Beaver Pond Rd Ste 201
Milford, MA 01757-3743
Phone (508) 794-3620
Other practice location 1
44 Bearfoot Rd Ste 201
Northborough, MA 01532-1559
Phone (508) 794-3620
Other practice location 2
275 Grove St Ste 400
Auburndale, MA 02466-2272
Phone (508) 794-3620
Other practice location 3
945 Concord St Ste 201
Framingham, MA 01701-4613
Phone (508) 794-3620
Other practice location 4
315 University Ave Ste 201
Westwood, MA 02090-2315
Phone (508) 794-3620
Other practice location 5
300 Brickstone Sq Ste 201
Andover, MA 01810-1497
Phone (508) 794-3620
Other practice location 6
859 Willard St Ste 400
Quincy, MA 02169-7469
Phone (508) 794-3620
Other practice location 7
287 Grove St Ste 204
Worcester, MA 01605-3905
Phone (508) 794-3620
Other practice location 8
99 Derby St Ste 200
Hingham, MA 02043-4216
Phone (508) 794-3620
Other practice location 9
303 Wyman St Ste 300
Waltham, MA 02451-1255
Phone (508) 794-3620
Other practice location 10
3 Allied Dr Ste 303
Dedham, MA 02026-6148
Phone (508) 794-3620
Other practice location 11
300 Baker Ave Ste 300
Concord, MA 01742-2124
Phone (508) 794-3620
Other practice location 12
198 Charlton Rd Ste 2
Sturbridge, MA 01566-1571
Phone (508) 794-3620
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538136 | Medicaid | MA | |
| 316454 | Other | MA | BLUECROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 254 | MA | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Hearing Professionals LLC | Hearing Instrument Specialist | Current | Accepting new patients |
Locations
300 Brickstone Sq
Ste 201
Andover, MA 01810
Phone (978) 483-7515
275 Grove St
Ste 400
Auburndale, MA 02466
Phone (617) 600-8863
300 Baker Ave
Ste 300
Concord, MA 01742
Phone (864) 336-2731
3 Allied Dr
Ste 303
Dedham, MA 02026
Phone (617) 645-4819
945 Concord St
Ste 201
Framingham, MA 01701
99 Derby St
Ste 200
Hingham, MA 02043
Phone (617) 356-0803
67 Forest St
Ste 35025
Marlborough, MA 01752
44 Bearfoot Rd
Ste 201
Northborough, MA 01532
859 Willard St
Ste 400
Quincy, MA 02169
Phone (617) 276-3067
303 Wyman St
Ste 300
Waltham, MA 02451
Phone (781) 330-0577
315 University Ave
Westwood, MA 02090
Phone (508) 376-8777
Organizations & group practices 1
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.
-
- Hearing Instrument Specialist
- Marlborough, MA
- NPI 1205719036
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760054400000",
"number": "1710167804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 BEAVER POND RD STE 201",
"city": "MILFORD",
"state": "MA",
"postal_code": "017573743",
"telephone_number": "508-794-3620",
"fax_number": "508-205-0291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "67 FOREST ST STE 350-25",
"city": "MARLBOROUGH",
"state": "MA",
"postal_code": "017523195",
"telephone_number": "508-794-3620",
"fax_number": "508-205-0291"
}
],
"practiceLocations": [
{
"address_1": "44 Bearfoot Rd Ste 201",
"address_purpose": "LOCATION",
"city": "Northborough",
"state": "MA",
"postal_code": "015321559",
"country_code": "US",
"telephone_number": "508-794-3620",
"fax_number": "508-205-0291",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "275 Grove St Ste 400",
"address_purpose": "LOCATION",
"city": "Auburndale",
"state": "MA",
"postal_code": "024662272",
"country_code": "US",
"telephone_number": "508-794-3620",
"fax_number": "508-205-0291",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "945 Concord St Ste 201",
"address_purpose": "LOCATION",
"city": "Framingham",
"state": "MA",
"postal_code": "017014613",
"country_code": "US",
"telephone_number": "508-794-3620",
"fax_number": "508-205-0291",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "315 University Ave Ste 201",
"address_purpose": "LOCATION",
"city": "Westwood",
"state": "MA",
"postal_code": "020902315",
"country_code": "US",
"telephone_number": "508-794-3620",
"fax_number": "508-205-0291",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "300 Brickstone Sq Ste 201",
"address_purpose": "LOCATION",
"city": "Andover",
"state": "MA",
"postal_code": "018101497",
"country_code": "US",
"telephone_number": "508-794-3620",
"fax_number": "508-205-0291",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "859 Willard St Ste 400",
"address_purpose": "LOCATION",
"city": "Quincy",
"state": "MA",
"postal_code": "021697469",
"country_code": "US",
"telephone_number": "508-794-3620",
"fax_number": "508-205-0291",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "287 Grove St Ste 204",
"address_purpose": "LOCATION",
"city": "Worcester",
"state": "MA",
"postal_code": "016053905",
"country_code": "US",
"telephone_number": "508-794-3620",
"fax_number": "508-205-0291",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "99 Derby St Ste 200",
"address_purpose": "LOCATION",
"city": "Hingham",
"state": "MA",
"postal_code": "020434216",
"country_code": "US",
"telephone_number": "508-794-3620",
"fax_number": "508-205-0291",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "303 Wyman St Ste 300",
"address_purpose": "LOCATION",
"city": "Waltham",
"state": "MA",
"postal_code": "024511255",
"country_code": "US",
"telephone_number": "508-794-3620",
"fax_number": "508-205-0291",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3 Allied Dr Ste 303",
"address_purpose": "LOCATION",
"city": "Dedham",
"state": "MA",
"postal_code": "020266148",
"country_code": "US",
"telephone_number": "508-794-3620",
"fax_number": "508-205-0291",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "300 Baker Ave Ste 300",
"address_purpose": "LOCATION",
"city": "Concord",
"state": "MA",
"postal_code": "017422124",
"country_code": "US",
"telephone_number": "508-794-3620",
"fax_number": "508-205-0291",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "198 Charlton Rd Ste 2",
"address_purpose": "LOCATION",
"city": "Sturbridge",
"state": "MA",
"postal_code": "015661571",
"country_code": "US",
"telephone_number": "508-794-3620",
"fax_number": "508-205-0291",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PRUYN",
"first_name": "KENNETH",
"middle_name": "CHARLES",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-11-06",
"last_updated": "2025-10-10",
"certification_date": "2025-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "MA",
"license": "254",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1538136",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS",
"identifier": "316454",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marlborough, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.