Active NPI
Bergen Audiology, LLC
- Audiologist-Hearing Aid Fitter
- Hackensack, NJ
National Provider Identifier
1851774954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- 25MA028008
- Legal business name
- BERGEN AUDIOLOGY, LLC
- Practice address
- 20 Prospect Ave
Suite 909
Hackensack, NJ 07601-1997 - Phone
- (201) 489-6520
- NPI assigned
- Jul 7, 2015
- Last updated
- Jul 7, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ronald B Low, M.D.
- Title
- President
- Phone
- (201) 489-6520
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | 25MA028008 | NJ | Primary |
Addresses
Primary practice location
20 Prospect Ave
Suite 909
Hackensack, NJ 07601-1997
Mailing address
20 Prospect Ave
Suite 909
Hackensack, NJ 07601-1997
Phone (201) 489-6520
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436227200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1436227200000",
"number": "1851774954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 PROSPECT AVE",
"address_2": "SUITE 909",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076011997",
"telephone_number": "201-489-6520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 PROSPECT AVE",
"address_2": "SUITE 909",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076011997",
"telephone_number": "201-489-6520"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BERGEN AUDIOLOGY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-07-07",
"last_updated": "2015-07-07",
"status": "A",
"authorized_official_last_name": "LOW",
"authorized_official_first_name": "RONALD",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "201-489-6520",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "NJ",
"license": "25MA028008",
"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 Jul 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.