NPIMap

Organization Active NPI

Wise Hearing New Jersey LLC

  • Clinic/Center
  • North Bergen, NJ
National Provider Identifier
1477092526
Registry record updated Feb 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
25MG00075800 Issued in NJ
Legal business name
WISE HEARING NEW JERSEY LLC
Practice address
8421 Bergenline Ave
North Bergen, NJ 07047-6517
Phone
(201) 758-7853
NPI assigned
Feb 21, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2017

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) 758-7853

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 25MG00075800 NJ Primary

Addresses

Primary practice location

8421 Bergenline Ave
North Bergen, NJ 07047-6517

Mailing address

60 Crane Ave
Rutherford, NJ 07070-2538
Phone (201) 779-2413

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

Other organizations with this tax ID 5

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1487635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487635200000",
    "number": "1477092526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 CRANE AVE",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070702538",
            "telephone_number": "201-779-2413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8421 BERGENLINE AVE",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070476517",
            "telephone_number": "201-758-7853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISE HEARING NEW JERSEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-21",
        "last_updated": "2017-02-21",
        "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": "201-758-7853",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ACA, BC-HIS"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NJ",
            "license": "25MG00075800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wise Hearing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Bergen, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; 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.