Organization Active NPI

Audiology Distribution, LLC

Doing business as HearUSA

  • Audiologist-Hearing Aid Fitter
  • River Edge, NJ
National Provider Identifier
1609395235
Registry record updated Sep 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
Legal business name
AUDIOLOGY DISTRIBUTION, LLC
Doing business as
HearUSA
Practice address
1021 Main St
River Edge, NJ 07661-2011
Phone
(201) 291-0550
NPI assigned
Sep 14, 2017
Last updated
Sep 14, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2017

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

Authorized official

Name
Morgan Gelatt
Title
Manager of Insurance Contracting
Phone
(561) 478-8770

Specialties & licenses 1

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

Addresses

Primary practice location

1021 Main St
River Edge, NJ 07661-2011

Mailing address

Dept 3298
Carol Stream, IL 60132-3298
Phone (561) 478-8770

Other names 1

  • HearUSA Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Audiology Distribution LLC46 organizations share this tax ID, including this one

Other organizations with this tax ID 45

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

View all 45

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": "1505347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505347200000",
    "number": "1609395235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT 3298",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601323298",
            "telephone_number": "561-478-8770",
            "fax_number": "561-598-7209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 MAIN ST",
            "city": "RIVER EDGE",
            "state": "NJ",
            "postal_code": "076612011",
            "telephone_number": "201-291-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUDIOLOGY DISTRIBUTION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-14",
        "last_updated": "2017-09-14",
        "status": "A",
        "authorized_official_last_name": "GELATT",
        "authorized_official_first_name": "MORGAN",
        "authorized_official_title_or_position": "MANAGER OF INSURANCE CONTRACTING",
        "authorized_official_telephone_number": "561-478-8770"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HearUSA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in River Edge, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.