Organization Active NPI

Audiology Services of NJ LLC

  • Audiologist
  • Newton, NJ
National Provider Identifier
1134813397
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
AUDIOLOGY SERVICES OF NJ LLC
Practice address
39 Newton Sparta Rd Ste 1C
Newton, NJ 07860-2773
Phone
(973) 383-4100
NPI assigned
Jun 8, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

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

Authorized official

Name
Dr. Alexander E. Malyarovich, SC.DNPI 1962835470
Title
Owner
Phone
(973) 383-4100

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
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X Primary

Addresses

Primary practice location

39 Newton Sparta Rd Ste 1C
Newton, NJ 07860-2773

Mailing address

39 Newton Sparta Rd Ste 1C
Newton, NJ 07860-2773
Phone (973) 383-4100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230629002484 NJ Part B Supplier - Clinic/Group Practice 2961861570 Receives reassigned benefits from 2 practitioners
Practice locations: Newton, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1686182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686182400000",
    "number": "1134813397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 NEWTON SPARTA RD STE 1C",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078602773",
            "telephone_number": "973-383-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 NEWTON SPARTA RD STE 1C",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078602773",
            "telephone_number": "973-383-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUDIOLOGY SERVICES OF NJ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-08",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A",
        "authorized_official_last_name": "MALYAROVICH",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-383-4100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "SC.D"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.