Organization Active NPI

Cranberry Hearing and Balance Center, LLC

  • Audiologist-Hearing Aid Fitter
  • Cranberry Township, PA
National Provider Identifier
1821260548
Registry record updated Jul 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
AT005835 Issued in PA
Legal business name
CRANBERRY HEARING AND BALANCE CENTER, LLC
Practice address
20820 Route 19 Ste a
Cranberry Township, PA 16066-6006
Phone
(724) 779-4444
NPI assigned
Apr 2, 2008
Last updated
Jul 26, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2019

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

Authorized official

Name
Mr. Mark L. Gustina
Title
Audiologist
Phone
(724) 779-4444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X AT005835 PA Primary

Addresses

Primary practice location

20820 Route 19 Ste a
Cranberry Township, PA 16066-6006

Mailing address

20820 Route 19 Ste a
Cranberry Township, PA 16066-6006
Phone (724) 779-4444

Other practice location 1

424 S Washington St
Alexandria, VA 22314-4100
Phone (571) 312-7345

Other practice location 2

6715 Little River Tpke Ste 203
Annandale, VA 22003-3546
Phone (703) 942-5844

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060208000642 PA Part B Supplier - Clinic/Group Practice 4981618998 Receives reassigned benefits from 2 practitioners
Practice locations: Cranberry TWP, PA; Pittsburgh, PA
O20151202001290 DC Part B Supplier - Clinic/Group Practice 4981618998 Receives reassigned benefits from 3 practitioners
Practice locations: Annandale, VA

National Provider Directory

National Provider Directory

Locations

20399 Route 19
Ste 206
Cranberry Twp, PA 16066
Phone (724) 779-4444

20820 Route 19
Ste A
Cranberry Twp, PA 16066
Phone (724) 779-4444

999 W View Park Dr
Pittsburgh, PA 15229

100 Northpointe Cir
Ste 302
Seven Fields, PA 16046
Phone (724) 779-4444

6715 Little River Tpke
Ste 203
Annandale, VA 22003
Phone (703) 942-5844

Practitioners & affiliated clinicians

Practitioners 6

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": "1207094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564099200000",
    "number": "1821260548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20820 ROUTE 19 STE A",
            "city": "CRANBERRY TOWNSHIP",
            "state": "PA",
            "postal_code": "160666006",
            "telephone_number": "724-779-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20820 ROUTE 19 STE A",
            "city": "CRANBERRY TOWNSHIP",
            "state": "PA",
            "postal_code": "160666006",
            "telephone_number": "724-779-4444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "424 S Washington St",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223144100",
            "country_code": "US",
            "telephone_number": "571-312-7345",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6715 Little River Tpke Ste 203",
            "address_purpose": "LOCATION",
            "city": "Annandale",
            "state": "VA",
            "postal_code": "220033546",
            "country_code": "US",
            "telephone_number": "703-942-5844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CRANBERRY HEARING AND BALANCE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-02",
        "last_updated": "2019-07-26",
        "status": "A",
        "authorized_official_last_name": "GUSTINA",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "AUDIOLOGIST",
        "authorized_official_telephone_number": "724-779-4444",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "PA",
            "license": "AT005835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranberry Township, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.