Organization Active NPI

Susan S Debruyne D/B/a Southside Hearing Center

  • Hearing Aid Equipment
  • Geneseo, NY
National Provider Identifier
1992841118
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Aid EquipmentTaxonomy code 332S00000X
License
15000009122 Issued in NY
Legal business name
SUSAN S DEBRUYNE D/B/A SOUTHSIDE HEARING CENTER
Practice address
50 E South St
Ste 400a
Geneseo, NY 14454-1300
Phone
(585) 243-7690
NPI assigned
Jan 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Dr. Susan S Debruyne, AU.D
Title
Owner
Phone
(585) 243-7690

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Aid Equipment 332S00000X 15000009122 NY Primary

Addresses

Primary practice location

50 E South St
Ste 400a
Geneseo, NY 14454-1300

Mailing address

50 E South St
Ste 400a
Geneseo, NY 14454-1300
Phone (585) 243-7690

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1992841118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 E SOUTH ST",
            "address_2": "STE 400A",
            "city": "GENESEO",
            "state": "NY",
            "postal_code": "144541300",
            "telephone_number": "585-243-7690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 E SOUTH ST",
            "address_2": "STE 400A",
            "city": "GENESEO",
            "state": "NY",
            "postal_code": "144541300",
            "telephone_number": "585-243-7690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN S DEBRUYNE D/B/A SOUTHSIDE HEARING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "DEBRUYNE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-243-7690",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D"
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "NY",
            "license": "15000009122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneseo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.