Individual provider Active NPI

Amy Flamenbaum, MS

  • Audiologist
  • Worcester, MA
National Provider Identifier
1922405992
Registry record updated Nov 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
SP-1056-AU Issued in MA
Practice address
55 Lake Ave N
Audiology Department, Level a
Worcester, MA 01655-0002
Phone
(508) 334-8726
NPI assigned
Nov 19, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X SP-1056-AU MA Primary

Addresses

Primary practice location

55 Lake Ave N
Audiology Department, Level a
Worcester, MA 01655-0002

Mailing address

55 N Lake Avenue North
Audiology Department, Level a
Worcester, MA 01655
Phone (508) 334-8726

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241125003281 GA Practitioner - Qualified Audiologist 9830624030 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Candler ENT Practice LLCGroup PAC ID 7214157742, 7 clinicians

Practice addresses (Care Compare)

5356 Reynolds St
Suite 505
Savannah, GA 31405-6017
Phone (912) 356-1515

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SP-1056-AUMAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Candler ENT Practice, LLC Audiologist CurrentSince Sep 1, 2024 Accepting new patients
Georgia Ear Associates PC Past Accepting new patients

Locations

836 E 65th St
Ste 22
Savannah, GA 31405
Phone (912) 819-7878

5356 Reynolds St
Ste 505
Savannah, GA 31405

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1416355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416355200000",
    "number": "1922405992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 N LAKE AVENUE NORTH",
            "address_2": "AUDIOLOGY DEPARTMENT, LEVEL A",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "01655",
            "telephone_number": "508-334-8726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 LAKE AVE N",
            "address_2": "AUDIOLOGY DEPARTMENT, LEVEL A",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016550002",
            "telephone_number": "508-334-8726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLAMENBAUM",
        "first_name": "AMY",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-19",
        "last_updated": "2014-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MA",
            "license": "SP-1056-AU",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2014; 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.