NPIMap

Organization Active NPI

Audiology Distribution, LLC

Doing business as HearUSA

  • Audiologist-Hearing Aid Fitter
  • Deptford, NJ
National Provider Identifier
1922355973
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
Legal business name
AUDIOLOGY DISTRIBUTION, LLC
Doing business as
HearUSA
Practice address
1800 Clements Bridge Rd Ste 3B
Deptford, NJ 08096-2021
Phone
(561) 478-8770
Fax
(561) 598-7231
NPI assigned
Aug 9, 2012
Last updated
Aug 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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

Authorized official

Name
Jordan Kunkle
Title
Credentialing Administrator
Phone
(561) 530-2149

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid FitterGroup: 193400000X SINGLE SPECIALTY GROUP 237600000X Primary

Addresses

Primary practice location

1800 Clements Bridge Rd Ste 3B
Deptford, NJ 08096-2021

Mailing address

PO Box 200132
Dallas, TX 75320-0132
Phone (561) 478-8770

Other names 1

  • HearUSA Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Audiology Distribution LLC46 organizations share this tax ID, including this one

Other organizations with this tax ID 45

Organizations that report the same tax identification number in the National Provider Directory.

View all 45

Locations

1800 Clements Bridge Rd
Ste 3B
Woodbury, NJ 08096
Phone (856) 384-0223

NPI Registry JSON

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

{
    "created_epoch": "1344470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724976000000",
    "number": "1922355973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 200132",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753200132",
            "telephone_number": "561-478-8770",
            "fax_number": "561-598-7231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 CLEMENTS BRIDGE RD STE 3B",
            "city": "DEPTFORD",
            "state": "NJ",
            "postal_code": "080962021",
            "telephone_number": "561-478-8770",
            "fax_number": "561-598-7231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUDIOLOGY DISTRIBUTION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-09",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A",
        "authorized_official_last_name": "KUNKLE",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "CREDENTIALING ADMINISTRATOR",
        "authorized_official_telephone_number": "561-530-2149"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HearUSA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Deptford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; 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.