Active NPI
Audiology Associates of Freehold, P.C.
- Specialist
- Freehold, NJ
National Provider Identifier
1902019755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- AUDIOLOGY ASSOCIATES OF FREEHOLD, P.C.
- Practice address
- 55-77 Schanck Rd Ste a-6
Freehold, NJ 07728-2963 - Phone
- (732) 462-1413
- Fax
- (732) 462-1771
- NPI assigned
- May 8, 2007
- 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
- Dr. Robert M. Disogra, AU.D.
- Title
- Audiologist
- Phone
- (732) 462-1413
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
55-77 Schanck Rd Ste a-6
Freehold, NJ 07728-2963
Mailing address
55-77 Schanck Rd Ste a-6
Freehold, NJ 07728-2963
Phone (732) 462-1413
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0901202 | Medicaid | NE |
National Provider Directory
National Provider DirectoryLocations
77 Schanck Rd
Ste A6
Freehold, NJ 07728
Phone (609) 895-0239
57 Schanck Rd
Ste C-5
Freehold, NJ 07728
Phone (732) 462-1413
55-77 Schanck Rd
Ste A-6
Freehold, NJ 07728
Phone (732) 303-1575
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1215388800000",
"number": "1902019755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55-77 SCHANCK RD STE A-6",
"city": "FREEHOLD",
"state": "NJ",
"postal_code": "077282963",
"telephone_number": "732-462-1413",
"fax_number": "732-462-1771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55-77 SCHANCK RD STE A-6",
"city": "FREEHOLD",
"state": "NJ",
"postal_code": "077282963",
"telephone_number": "732-462-1413",
"fax_number": "732-462-1771"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AUDIOLOGY ASSOCIATES OF FREEHOLD, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-08",
"last_updated": "2008-07-07",
"status": "A",
"authorized_official_last_name": "DISOGRA",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "AUDIOLOGIST",
"authorized_official_telephone_number": "732-462-1413",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "AU.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0901202",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Freehold, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.