NPIMap

Organization Active NPI

Wise Hearing New Jersey LLC

  • Hearing Instrument Specialist
  • Newark, NJ
National Provider Identifier
1174868103
Registry record updated Dec 3, 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
295A Ferry St
Newark, NJ 07105-3443
Phone
(973) 732-2236
Fax
(973) 589-5909
NPI assigned
Dec 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2012

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

Authorized official

Name
Mr. Ruben Dario Henriquez, ACA, BC-HIS
Title
Audioprosthologist
Phone
(201) 779-2413

Specialties & licenses 1

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

Addresses

Primary practice location

295A Ferry St
Newark, NJ 07105-3443

Mailing address

295A Ferry St
Newark, NJ 07105-3443
Phone (973) 732-2236

Other identifiers 1

IdentifierTypeStateIssuer
0297658MedicaidNJ

Other names 1

  • Wise Hearing Other name

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.

Locations

295A Ferry St
Newark, NJ 07105
Phone (973) 589-8008

Practitioners & affiliated clinicians

Practitioners 2

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": "1354492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354492800000",
    "number": "1174868103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295A FERRY ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071053443",
            "telephone_number": "973-732-2236",
            "fax_number": "973-589-5909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295A FERRY ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071053443",
            "telephone_number": "973-732-2236",
            "fax_number": "973-589-5909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISE HEARING NEW JERSEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-03",
        "last_updated": "2012-12-03",
        "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": "201-779-2413",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ACA, BC-HIS"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": "NJ",
            "license": "25MG00075800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0297658",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wise Hearing",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.