NPIMap

Organization Active NPI

Gotlieb Hearing Center

  • Audiologist
  • Fair Lawn, NJ
National Provider Identifier
1629419155
Registry record updated Jul 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
41YA00002100 Issued in NJ
Legal business name
GOTLIEB HEARING CENTER
Practice address
13-19 River Road
Fair Lawn, NJ 07410
Phone
(201) 703-6800
Fax
(201) 703-6805
NPI assigned
Jul 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2013

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

Authorized official

Name
Erez Gotlieb
Title
Manager
Phone
(201) 703-6800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X 41YA00002100 NJ Primary

Addresses

Primary practice location

13-19 River Road
Fair Lawn, NJ 07410

Mailing address

13-19 River Road
Fair Lawn, NJ 07410
Phone (201) 703-6800

Other identifiers 1

IdentifierTypeStateIssuer
6126600MedicaidNJ

National Provider Directory

National Provider Directory

Locations

13-19A River Rd
Fair Lawn, NJ 07410
Phone (201) 703-6800

Practitioners & affiliated clinicians

Practitioners 6

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": "1373587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373587200000",
    "number": "1629419155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13-19 RIVER ROAD",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "07410",
            "telephone_number": "201-703-6800",
            "fax_number": "201-703-6805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13-19 RIVER ROAD",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "07410",
            "telephone_number": "201-703-6800",
            "fax_number": "201-703-6805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOTLIEB HEARING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-12",
        "last_updated": "2013-07-12",
        "status": "A",
        "authorized_official_last_name": "GOTLIEB",
        "authorized_official_first_name": "EREZ",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "201-703-6800"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "NJ",
            "license": "41YA00002100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6126600",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Lawn, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2013; 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.