Organization Active NPI

Raritan Valley Audiology, LLC

  • Audiologist
  • Bridgewater, NJ
National Provider Identifier
1174825137
Registry record updated Nov 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
41YA00078100 Issued in NJ
Legal business name
RARITAN VALLEY AUDIOLOGY, LLC
Practice address
215 Union Ave
Suite C
Bridgewater, NJ 08807-3063
Phone
(908) 248-4327
Fax
(908) 573-5773
NPI assigned
Nov 24, 2010
Last updated
Nov 4, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2016

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

Authorized official

Name
Farah M Hussain-Said, AUDIONPI 1265752463
Title
President
Phone
(908) 248-4327

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Aid Equipment 332S00000X 1155 NJ
Audiologist 231H00000X 41YA00078100 NJ Primary

Addresses

Primary practice location

215 Union Ave
Suite C
Bridgewater, NJ 08807-3063

Mailing address

215 Union Ave
Suite C
Bridgewater, NJ 08807-3063
Phone (908) 248-4327

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110513000700 NJ Part B Supplier - Clinic/Group Practice 1850577586 Receives reassigned benefits from 1 practitioner
Practice locations: Bridgewater, NJ

National Provider Directory

National Provider Directory

Locations

215 Union Ave
Ste C
Bridgewater, NJ 08807
Phone (908) 248-4327

1124 Route 202
Ste A2
Raritan, NJ 08869
Phone (302) 521-3201

Practitioners & affiliated clinicians

Practitioners 2

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": "1290556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478217600000",
    "number": "1174825137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 UNION AVE",
            "address_2": "SUITE C",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088073063",
            "telephone_number": "908-248-4327",
            "fax_number": "908-573-5773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 UNION AVE",
            "address_2": "SUITE C",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088073063",
            "telephone_number": "908-248-4327",
            "fax_number": "908-573-5773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RARITAN VALLEY AUDIOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-24",
        "last_updated": "2016-11-04",
        "status": "A",
        "authorized_official_last_name": "HUSSAIN-SAID",
        "authorized_official_first_name": "FARAH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-248-4327",
        "authorized_official_credential": "AUDIO"
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "NJ",
            "license": "1155",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NJ",
            "license": "41YA00078100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgewater, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2016; 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.