Individual provider Active NPI

Tiffany Clegg Pfleger, AU.D.

  • Audiologist
  • Mashpee, MA
National Provider Identifier
1942496542
Registry record updated Oct 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
592 Issued in MA
Practice address
800 Falmouth Rd
Suite 104a Advanced Audiology Assoc
Mashpee, MA 02649
Phone
(508) 539-9780
Fax
(508) 539-9830
NPI assigned
Sep 18, 2007
Last updated
Oct 24, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 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 592 MA Primary

Addresses

Primary practice location

800 Falmouth Rd
Suite 104a Advanced Audiology Assoc
Mashpee, MA 02649

Mailing address

800 Falmouth Rd
Suite 104a Advanced Audiology Assoc
Mashpee, MA 02649
Phone (508) 539-9780

Other identifiers 1

IdentifierTypeStateIssuer
AD022764OtherGROUP MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080429000167 MA Practitioner - Qualified Audiologist 0345328589 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Audiology Associates IncGroup PAC ID 0840376612, 3 clinicians

Practice addresses (Care Compare)

800 Falmouth Rd
Mashpee, MA 02649-3303
Phone (508) 539-9780

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cape Cod Primary Care LLC PastSince Apr 15, 2019 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414108800000",
    "number": "1942496542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 FALMOUTH RD",
            "address_2": "SUITE 104A ADVANCED AUDIOLOGY ASSOC",
            "city": "MASHPEE",
            "state": "MA",
            "postal_code": "02649",
            "telephone_number": "508-539-9780",
            "fax_number": "508-539-9830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 FALMOUTH RD",
            "address_2": "SUITE 104A ADVANCED AUDIOLOGY ASSOC",
            "city": "MASHPEE",
            "state": "MA",
            "postal_code": "02649",
            "telephone_number": "508-539-9780",
            "fax_number": "508-539-9830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFLEGER",
        "first_name": "TIFFANY",
        "middle_name": "CLEGG",
        "name_prefix": "Ms.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-18",
        "last_updated": "2014-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MA",
            "license": "592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE",
            "identifier": "AD022764",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mashpee, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.