NJ Audiology Group Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

NJ AUDIOLOGY GROUP INC

Practice address

8901 Kennedy Blvd Ste 4S
North Bergen, NJ 07047-5345

Phone

(201) 472-8500

Fax

(201) 472-8501

NPI assigned

Jul 3, 2022

Last updated

Feb 12, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Pam Long

Title

Administrator

Phone

(201) 472-8500

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Tax ID family

NJ Audiology Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• NJ Audiology Group Inc

  • Clinic/Center
  • Bayonne, NJ
  • NPI 1003670886
  NPD tax ID

Practitioners 8

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.

• Dolores R. Boisselle, AUD

  • Audiologist
  • Elmwood Park, NJ
  • NPI 1851535934
  Medicare reassignment Care Compare group NPD
• Ivelca Rodriguez, AUD

  • Audiologist
  • North Bergen, NJ
  • NPI 1336980390
  Medicare reassignment Care Compare group NPD
• Ayo Ogunlusi, MCD

  • Audiologist
  • Staten Island, NY
  • NPI 1033199211

  NJ

  Medicare reassignment Care Compare group NPD
• Jonathan Agosto, AUD

  • Audiologist
  • Belleville, NJ
  • NPI 1518518851
  Medicare reassignment NPD
• Anum Hassan, AUD

  • Audiologist
  • Belleville, NJ
  • NPI 1013492271
  Medicare reassignment NPD
• Lilliana Geraldes, AUD.

  • Audiologist
  • Belleville, NJ
  • NPI 1710778030
  Medicare reassignment
• Isaac Lambert

  • Hearing Instrument Specialist
  • Belleville, NJ
  • NPI 1457090177
  NPD
• Fauzia Kausar, AUD., M.A.

  • Audiologist
  • Fountain Valley, CA
  • NPI 1407968985
  NPD (past)

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

{
    "created_epoch": "1656806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707696000000",
    "number": "1184357683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8901 KENNEDY BLVD STE 4S",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070475345",
            "telephone_number": "201-472-8500",
            "fax_number": "201-472-8501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 KENNEDY BLVD STE 4S",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070475345",
            "telephone_number": "201-472-8500",
            "fax_number": "201-472-8501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NJ AUDIOLOGY GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-03",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "201-472-8500"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in North Bergen, NJ
• Providers in North Bergen, NJ by specialty
• Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; 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.