NPIMap

Organization Active NPI

Tri-County Audiology Services, PC

  • Audiologist
  • Hackensack, NJ
National Provider Identifier
1740509397
Registry record updated May 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
41YA00044500 Issued in NJ
Legal business name
TRI-COUNTY AUDIOLOGY SERVICES, PC
Practice address
255 Main St
Hackensack, NJ 07601-5704
Phone
(201) 342-1080
NPI assigned
May 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2010

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

Authorized official

Name
Dr. Sharon L. Axelrod, AU.D.
Title
Doctor of Audiology
Phone
(845) 304-9934

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 231H00000X 41YA00044500 NJ Primary
AudiologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 231H00000X 000851-1 NY
Assistive Technology Supplier AudiologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 231HA2500X MG00753 NJ
Assistive Technology Supplier AudiologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 231HA2500X 14000006177 NY

Addresses

Primary practice location

255 Main St
Hackensack, NJ 07601-5704

Mailing address

79 Ridge Rd
New City, NY 10956-6824
Phone (845) 304-9934

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1274400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274400000000",
    "number": "1740509397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 RIDGE RD",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109566824",
            "telephone_number": "845-304-9934",
            "fax_number": "845-634-6026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 MAIN ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076015704",
            "telephone_number": "201-342-1080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-COUNTY AUDIOLOGY SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-21",
        "last_updated": "2010-05-21",
        "status": "A",
        "authorized_official_last_name": "AXELROD",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "DOCTOR OF AUDIOLOGY",
        "authorized_official_telephone_number": "845-304-9934",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": "NJ",
            "license": "41YA00044500",
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": "NY",
            "license": "000851-1",
            "primary": false
        },
        {
            "code": "231HA2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Audiologist, Assistive Technology Supplier",
            "state": "NJ",
            "license": "MG00753",
            "primary": false
        },
        {
            "code": "231HA2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Audiologist, Assistive Technology Supplier",
            "state": "NY",
            "license": "14000006177",
            "primary": false
        }
    ],
    "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 May 21, 2010; 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.