Active NPI
Tina Deanne Moseuk, HIS
- Hearing Instrument Specialist
- Brewerton, NY
National Provider Identifier
1871260133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 14000065625
- Practice address
- 9670 Brewerton Rd
Brewerton, NY 13029-8717 - Phone
- (315) 668-1111
- NPI assigned
- Aug 25, 2021
- Last updated
- Jun 19, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 14000065625 | NY | Primary |
Addresses
Primary practice location
9670 Brewerton Rd
Brewerton, NY 13029-8717
Mailing address
9670 Brewerton Rd
Brewerton, NY 13029-8717
Phone (315) 668-1111
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
| License | State | Type | Specialty |
|---|---|---|---|
| 14000065625 | NY | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hear Clear of Cny, LLC | Hearing Instrument Specialist | Current | Accepting new patients |
| Advanced Hearing Aid Centers of Cny, Inc. | Past | Accepting new patients |
Locations
9670 Brewerton Rd
Brewerton, NY 13029
Phone (315) 278-4523
Organizations & group practices 2
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.
-
dba Hear Clear of CNY
- Hearing Instrument Specialist
- Brewerton, NY
- NPI 1033951934
-
- Hearing Aid Equipment
- Central Square, NY
- NPI 1275668089
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718755200000",
"number": "1871260133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9670 BREWERTON RD",
"city": "BREWERTON",
"state": "NY",
"postal_code": "130298717",
"telephone_number": "315-668-1111",
"fax_number": "315-668-1162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9670 BREWERTON RD",
"city": "BREWERTON",
"state": "NY",
"postal_code": "130298717",
"telephone_number": "315-668-1111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSEUK",
"first_name": "TINA",
"middle_name": "DEANNE",
"credential": "HIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-25",
"last_updated": "2024-06-19",
"certification_date": "2024-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "NY",
"license": "14000065625",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brewerton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.