Jill Gaffey, MS CCC A

Primary specialty

AudiologistTaxonomy code 231H00000X

License

85 Issued in CT

Practice address

198 South Main St
Middletown, CT 06457

Phone

(860) 346-5428

Fax

(860) 346-0201

NPI assigned

Jul 14, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Shoreline Audiology, LLC

  dba County Hearing and Balance

  • Audiologist
  • Waterford, CT
  • NPI 1336343243
  NPD (past)

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760408546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 DEAD HILL ROAD",
            "city": "DURHAM",
            "state": "CT",
            "postal_code": "06422",
            "telephone_number": "860-349-8709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 SOUTH MAIN ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "06457",
            "telephone_number": "860-346-5428",
            "fax_number": "860-346-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAFFEY",
        "first_name": "JILL",
        "name_prefix": "Ms.",
        "credential": "MS CCC A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CT",
            "license": "85",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "730000085CT01",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "OV5601",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marina Fuchs, MD
• Full and Fit Family LLC
• Full of Life Counseling and Addiction Services, PLLC
• Sara Allison Fulton
• Carol Lynn Gaetjen, CS
• Daniel William Gallagher, RPH
• David S Gallo, MD
• Jacqueline S Galloway
• Eric Gambardella, DO
• Caryn Elizabeth Ganun, LCSW

• Audiologist in Middletown, CT
• Providers in Middletown, CT by specialty
• Audiologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.