Organization Active NPI

Audiology Associates of Freehold, P.C.

  • Specialist
  • Freehold, NJ
National Provider Identifier
1902019755
Registry record updated Jul 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
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

Updated by the provider on Jul 7, 2008

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0901202MedicaidNE

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.