Organization Active NPI

NJ Audiology Group Inc

  • Clinic/Center
  • Bayonne, NJ
National Provider Identifier
1003670886
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
NJ AUDIOLOGY GROUP INC
Practice address
548 Broadway
Bayonne, NJ 07002-3864
Phone
(201) 443-8323
Fax
(201) 472-8501
NPI assigned
Feb 12, 2024
Last updated
Feb 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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

Authorized official

Name
Pam Long
Title
Administrator
Phone
(201) 472-8500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

548 Broadway
Bayonne, NJ 07002-3864

Mailing address

8901 Kennedy Blvd Ste 4S
North Bergen, NJ 07047-5345
Phone (201) 472-8500

National Provider Directory

National Provider Directory
Tax ID family
NJ Audiology Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1707696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707696000000",
    "number": "1003670886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8901 KENNEDY BLVD STE 4S",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070475345",
            "telephone_number": "201-472-8500",
            "fax_number": "201-472-8501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "548 BROADWAY",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023864",
            "telephone_number": "201-443-8323",
            "fax_number": "201-472-8501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NJ AUDIOLOGY GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-12",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "201-472-8500"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayonne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; 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.