Jackson Audiology, LLC

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

License

41YA00077300 Issued in NJ

Legal business name

JACKSON AUDIOLOGY, LLC

Doing business as

Family Hearing Center

Practice address

177 Franklin Corner Rd
Suite 1-B
Lawrenceville, NJ 08648-2548

Phone

(609) 895-1666

Fax

(609) 895-1660

NPI assigned

Sep 14, 2011

Last updated

Sep 14, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Joanne Long Rosenberg, M.A.

Title

President

Phone

(609) 895-1666

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Family Hearing Center Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Theodore Leroy Johnson, AU.D.

  • Audiologist
  • Lawrenceville, NJ
  • NPI 1417000282
  NPD (past)

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

{
    "created_epoch": "1315958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315958400000",
    "number": "1932481058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 FRANKLIN CORNER RD",
            "address_2": "SUITE 1-B",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482548",
            "telephone_number": "609-895-1666",
            "fax_number": "609-895-1660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 FRANKLIN CORNER RD",
            "address_2": "SUITE 1-B",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482548",
            "telephone_number": "609-895-1666",
            "fax_number": "609-895-1660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON AUDIOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-14",
        "last_updated": "2011-09-14",
        "status": "A",
        "authorized_official_last_name": "ROSENBERG",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_middle_name": "LONG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-895-1666",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "NJ",
            "license": "41YA00077300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12225842",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Hearing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Harriet Heidi Jahr-Philips
• Madhu Jain, MD
• Emily Jalajas, LCSW
• James a Boozan M D

• Hearing and Speech Clinic/Center in Lawrenceville, NJ
• Providers in Lawrenceville, NJ by specialty
• Hearing and Speech Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; 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.