Individual provider Active NPI

Eva Bero, AU.D. CCC-A

  • Audiologist
  • Plattsburgh, NY
National Provider Identifier
1811023062
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
002312 Issued in NY
Practice address
11 Hammond LN Ste C
Plattsburgh, NY 12901-2003
Phone
(518) 562-0054
Fax
(518) 563-5518
NPI assigned
Feb 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 002312 NY
Audiologist 231H00000X 002312 NY Primary

Addresses

Primary practice location

11 Hammond LN Ste C
Plattsburgh, NY 12901-2003

Mailing address

10 Marsett Rd Ste 3
Shelburne, VT 05482-7150
Phone (802) 922-9545

Other practice location 1

144 Broadway Ste 1
Saranac Lake, NY 12983-1486
Phone (518) 891-0487

Other practice location 2

6791 US Highway 11
Potsdam, NY 13676-3132
Phone (315) 276-3484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120725000204 MA Practitioner - Qualified Audiologist 6608032305 Reassigns benefits to 2 organizations
I20250116001838 NY Practitioner - Qualified Audiologist 6608032305 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adirondack Audiology Associates PCGroup PAC ID 2860714110, 5 clinicians

Practice addresses (Care Compare)

11 Hammond LN
Suite C
Plattsburgh, NY 12901-2003
Phone (518) 562-0054

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003024NYMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Lahey Clinic, Inc. CurrentSince Jun 18, 2012 Accepting new patients
Adirondack Audiology Associates Hearing and Balance Center LLC Audiologist-Hearing Aid Fitter CurrentSince Nov 15, 2024 Accepting new patients
Adirondack Audiology Associates, PC Audiologist CurrentSince Nov 15, 2024 Accepting new patients
Lahey Clinic, Inc CurrentSince Jun 18, 2012 Accepting new patients

Locations

41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400

11 Hammond Ln
Ste C
Plattsburgh, NY 12901
Phone (518) 562-0054

6791 US Highway 11
Potsdam, NY 13676
Phone (315) 276-3484

144 Broadway
Ste 1
Saranac Lake, NY 12983
Phone (518) 891-0487

10 Marsett Rd
Ste 3
Shelburne, VT 05482
Phone (802) 448-2138

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1172275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1811023062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MARSETT RD STE 3",
            "city": "SHELBURNE",
            "state": "VT",
            "postal_code": "054827150",
            "telephone_number": "802-922-9545",
            "fax_number": "802-922-9546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 HAMMOND LN STE C",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129012003",
            "telephone_number": "518-562-0054",
            "fax_number": "518-563-5518"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "144 Broadway Ste 1",
            "address_purpose": "LOCATION",
            "city": "Saranac Lake",
            "state": "NY",
            "postal_code": "129831486",
            "country_code": "US",
            "telephone_number": "518-891-0487",
            "fax_number": "518-891-6718",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6791 US Highway 11",
            "address_purpose": "LOCATION",
            "city": "Potsdam",
            "state": "NY",
            "postal_code": "136763132",
            "country_code": "US",
            "telephone_number": "315-276-3484",
            "fax_number": "315-276-3485",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERO",
        "first_name": "EVA",
        "name_prefix": "Ms.",
        "credential": "AU.D. CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-24",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NY",
            "license": "002312",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "002312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plattsburgh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.