Individual provider Active NPI

Kenneth Charles Pruyn Jr.

  • Hearing Instrument Specialist
  • Marlborough, MA
National Provider Identifier
1710167804
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
254 Issued in MA
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

Updated by the provider on Oct 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1538136MedicaidMA
316454OtherMABLUECROSS

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

LicenseStateTypeSpecialty
254MAMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
The Hearing Professionals LLC Hearing Instrument Specialist CurrentSince Oct 12, 2025 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.

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.

Verify at the official NPI Registry.