NPIMap

Organization Active NPI

Wise Hearing New Jersey LLC

  • Hearing Instrument Specialist
  • Bayonne, NJ
National Provider Identifier
1124223417
Registry record updated Nov 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
25MG00075800 Issued in NJ
Legal business name
WISE HEARING NEW JERSEY LLC
Practice address
600 Broadway
Bayonne, NJ 07002-3819
Phone
(201) 455-2649
Fax
(201) 455-2651
NPI assigned
Jun 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2012

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

Authorized official

Name
Mr. Ruben Dario Henriquez, BC-HISNPI 1316938905
Title
Audioprosthologist
Phone
(201) 455-2649

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 237700000X 25MG00075800 NJ Primary

Addresses

Primary practice location

600 Broadway
Bayonne, NJ 07002-3819

Mailing address

600 Broadway
Bayonne, NJ 07002-3819
Phone (201) 455-2649

Other identifiers 1

IdentifierTypeStateIssuer
0295850MedicaidNJ

Other names 1

  • Wise Hearing Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Wise Hearing New Jersey LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354233600000",
    "number": "1124223417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 BROADWAY",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023819",
            "telephone_number": "201-455-2649",
            "fax_number": "201-455-2651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 BROADWAY",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023819",
            "telephone_number": "201-455-2649",
            "fax_number": "201-455-2651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISE HEARING NEW JERSEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-18",
        "last_updated": "2012-11-30",
        "status": "A",
        "authorized_official_last_name": "HENRIQUEZ",
        "authorized_official_first_name": "RUBEN",
        "authorized_official_middle_name": "DARIO",
        "authorized_official_title_or_position": "AUDIOPROSTHOLOGIST",
        "authorized_official_telephone_number": "201-455-2649",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BC-HIS"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": "NJ",
            "license": "25MG00075800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0295850",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wise Hearing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 30, 2012; 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.