Organization Active NPI

Advanced Audiology Group, Inc.

  • Audiologist-Hearing Aid Fitter
  • Fairfax, VA
National Provider Identifier
1396043899
Registry record updated Mar 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
Legal business name
ADVANCED AUDIOLOGY GROUP, INC.
Practice address
3917 Old Lee Hwy
Suite 11-B
Fairfax, VA 22030-2431
Phone
(888) 559-4327
NPI assigned
Mar 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2011

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

Authorized official

Name
Sanjay Srivastava
Title
President
Phone
(888) 559-4327

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid FitterGroup: 193400000X SINGLE SPECIALTY GROUP 237600000X Primary

Addresses

Primary practice location

3917 Old Lee Hwy
Suite 11-B
Fairfax, VA 22030-2431

Mailing address

3917 Old Lee Hwy
Suite 11-B
Fairfax, VA 22030-2431
Phone (888) 559-4327

National Provider Directory

National Provider Directory

Locations

1658 State Farm Blvd
Ste D
Charlottesville, VA 22911
Phone (855) 327-2327

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": "1299456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299456000000",
    "number": "1396043899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3917 OLD LEE HWY",
            "address_2": "SUITE 11-B",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302431",
            "telephone_number": "888-559-4327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3917 OLD LEE HWY",
            "address_2": "SUITE 11-B",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302431",
            "telephone_number": "888-559-4327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED AUDIOLOGY GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-07",
        "last_updated": "2011-03-07",
        "status": "A",
        "authorized_official_last_name": "SRIVASTAVA",
        "authorized_official_first_name": "SANJAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "888-559-4327"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2011; 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.