Organization Active NPI

Wise Hearing New Jersey LLC

Doing business as Wise Hearing

  • Hearing Instrument Specialist
  • Kearny, NJ
National Provider Identifier
1184192445
Registry record updated Nov 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
Legal business name
WISE HEARING NEW JERSEY LLC
Doing business as
Wise Hearing
Practice address
179 Kearney Ave
Kearny, NJ 07032
Phone
(201) 428-9242
Fax
(201) 428-9244
NPI assigned
Nov 5, 2018
Last updated
Nov 5, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
WISE HEARING NEW JERSEY LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 5, 2018

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

Authorized official

Name
Ruben Dario Henriquez, ACA, DC-HISNPI 1316938905
Title
Audioprosthologist/Member
Phone
(201) 428-9242

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 Specialist 237700000X Primary

Addresses

Primary practice location

179 Kearney Ave
Kearny, NJ 07032

Mailing address

600 Broadway
Bayonne, NJ 07002
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
Part of
Wise Hearing New Jersey LLC

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, 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": "1541376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541376000000",
    "number": "1184192445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 BROADWAY",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "07002",
            "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": "179 KEARNEY AVE",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "07032",
            "telephone_number": "201-428-9242",
            "fax_number": "201-428-9244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISE HEARING NEW JERSEY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WISE HEARING NEW JERSEY LLC",
        "enumeration_date": "2018-11-05",
        "last_updated": "2018-11-05",
        "status": "A",
        "authorized_official_last_name": "HENRIQUEZ",
        "authorized_official_first_name": "RUBEN",
        "authorized_official_middle_name": "DARIO",
        "authorized_official_title_or_position": "AUDIOPROSTHOLOGIST/MEMBER",
        "authorized_official_telephone_number": "201-428-9242",
        "authorized_official_credential": "ACA, DC-HIS"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": null,
            "license": null,
            "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 Kearny, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2018; 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.