Organization Active NPI

Pinna Professionals, LLC

Doing business as Coastal Hearng Clinic

  • Hearing Instrument Specialist
  • Sandwich, MA
National Provider Identifier
1770049074
Registry record updated Feb 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
Legal business name
PINNA PROFESSIONALS, LLC
Doing business as
Coastal Hearng Clinic
Practice address
33 Jarves St
Sandwich, MA 02563-2041
Phone
(774) 413-5023
Fax
(774) 413-9431
NPI assigned
Feb 12, 2019
Last updated
Feb 12, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
PINNA PROFESSIONALS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 12, 2019

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

Authorized official

Name
Cynthia G Connolly, BC-HISNPI 1366707895
Title
Owner/Provider
Phone
(774) 413-5023

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
Hearing Instrument Specialist 237700000X NU Primary

Addresses

Primary practice location

33 Jarves St
Sandwich, MA 02563-2041

Mailing address

33 Jarves St
Sandwich, MA 02563-2041
Phone (774) 413-5023

Other identifiers 1

IdentifierTypeStateIssuer
110093944AMedicaidMA

Other names 1

  • Coastal Hearng Clinic Doing business as

National Provider Directory

National Provider Directory
Part of
Pinna Professionals LLC

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1549929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549929600000",
    "number": "1770049074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 JARVES ST",
            "city": "SANDWICH",
            "state": "MA",
            "postal_code": "025632041",
            "telephone_number": "774-413-5023",
            "fax_number": "774-413-9431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 JARVES ST",
            "city": "SANDWICH",
            "state": "MA",
            "postal_code": "025632041",
            "telephone_number": "774-413-5023",
            "fax_number": "774-413-9431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNA PROFESSIONALS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PINNA PROFESSIONALS, LLC",
        "enumeration_date": "2019-02-12",
        "last_updated": "2019-02-12",
        "status": "A",
        "authorized_official_last_name": "CONNOLLY",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "774-413-5023",
        "authorized_official_credential": "BC-HIS"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110093944A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Hearng Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sandwich, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; 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.