SOUTHSIDE HEARING CENTER, LLC
NPI 1043304157
Audiologist in Lakeville, NY

Q: What is Southside Hearing Center, LLC's NPI number?

The NPI number for Southside Hearing Center, LLC is 1043304157. It was assigned to this organization in the NPPES registry on October 3, 2006.

Q: What is Southside Hearing Center, LLC's specialty?

The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.

Active since October 03, 2006

3513 THOMAS DR STE 2, LAKEVILLE, NY 14480(585) 243-7690(585) 346-7582 Get Directions Write a Review

NPPES record last updated: May 30, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Southside Hearing Center, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHSIDE HEARING CENTER, LLC (NPI 1043304157) is a healthcare organization registered as an audiologist in Lakeville, New York and active in the NPI registry since October 2006. The organization maintains a secondary practice location in Henrietta and lists Kathleen Brady, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1043304157

Entity TypeOrganization

Primary Taxonomy231H00000X

Legal Business NameSOUTHSIDE HEARING CENTER, LLC

Location Address3513 THOMAS DR STE 2Lakeville, NY 14480-9759

Mailing Address3513 Thomas Dr Ste 2Lakeville, NY 14480-9759 · (585) 243-7690

Phone(585) 243-7690

Fax(585) 346-7582

Organization SubpartNo

Authorized OfficialKathleen BradyBusiness Manager · (585) 243-7690

Enumeration DateOctober 3, 2006

Last NPPES UpdateMay 30, 2024

NPPES CertifiedMay 30, 2024

✔ NPI 1043304157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAudiologistSpeech, Language and Hearing Service Providers

Taxonomy Code231H00000X

Definition

(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.

Also ListedHearing Aid EquipmentTaxonomy 332S00000X · License 1451 (NY)

3513 THOMAS DR STE 2, Lakeville, NY 14480

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Secondary Practice Location 1

Location 120 Finn Rd Ste CHenrietta, NY 14467-9388 · Phone (585) 359-4987 · Fax (585) 487-6027

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southside Hearing Center, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Southside Hearing Center, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Susan Debruyne, AU.D

Qualified Audiologist

NPI 1023010550

3513 THOMAS DR STE 2
Lakeville, NY 14480

(585) 243-7690

✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southside Hearing Center, LLC's NPI number?

The NPI number for Southside Hearing Center, LLC is 1043304157. It was assigned to this organization in the NPPES registry on October 3, 2006.

Where is Southside Hearing Center, LLC located?

Southside Hearing Center, LLC is located at 3513 Thomas Dr Ste 2, Lakeville, NY 14480. The listed phone number is (585) 243-7690.

What is Southside Hearing Center, LLC's specialty?

The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.

Is Southside Hearing Center, LLC enrolled in Medicare?

Yes. Southside Hearing Center, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southside Hearing Center, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Qualified Audiologist) reassigns their Medicare billing to Southside Hearing Center, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Southside Hearing Center, LLC was last updated on May 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.