Active NPI
Deanene Venita Harrison, AU.D
- Audiologist
- Hackensack, NJ
National Provider Identifier
1457579252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 41YA00072700
- Practice address
- 2 University PLZ Ste 226
Hackensack, NJ 07601-6210 - Phone
- (201) 645-5440
- Fax
- (201) 645-5443
- NPI assigned
- Apr 24, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AT006035 | PA | |
| Audiologist | 231H00000X | 000631 | CT | |
| Audiologist-Hearing Aid Fitter | 237600000X | 25MG00109400 | NJ | |
| Audiologist-Hearing Aid Fitter | 237600000X | 00631 | CT | |
| Audiologist | 231H00000X | 41YA00072700 | NJ | Primary |
Addresses
Primary practice location
2 University PLZ Ste 226
Hackensack, NJ 07601-6210
Mailing address
2 University PLZ Ste 226
Hackensack, NJ 07601-6210
Phone (201) 645-5440
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT006035 | PA | MD | Audiologist |
| 00631 | CT | MD | Audiologist-Hearing Aid Fitter |
| 25MG00109400 | NJ | MD | Audiologist-Hearing Aid Fitter |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Audiologist
- Hackensack, NJ
- NPI 1396348959
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782259200000",
"number": "1457579252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 UNIVERSITY PLZ STE 226",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076016210",
"telephone_number": "201-645-5440",
"fax_number": "201-645-5443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 UNIVERSITY PLZ STE 226",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076016210",
"telephone_number": "201-645-5440",
"fax_number": "201-645-5443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRISON",
"first_name": "DEANENE",
"middle_name": "VENITA",
"name_prefix": "Dr.",
"credential": "AU.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-24",
"last_updated": "2026-06-24",
"certification_date": "2026-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "PA",
"license": "AT006035",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CT",
"license": "000631",
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "NJ",
"license": "25MG00109400",
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "CT",
"license": "00631",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NJ",
"license": "41YA00072700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hackensack, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; 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.