Southside Hearing Center, LLC
NPI 1043304157ActiveOrganization· Audiologist· Lakeville, NY
Audiologist in Lakeville, New York, registered in NPPES in October 2006. The authorized official on file is Kathleen Brady, Business Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1043304157 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 3, 2006 |
| Last updated in NPPES | May 30, 2024 |
| Certified by provider | May 30, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Audiologist Primary | 231H00000X | — | — |
| Hearing Aid Equipment | 332S00000X | 1451 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NY) |
|---|
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