Organization Active NPI

Gotlieb Hearing Center Limited Liability Company

  • Audiologist-Hearing Aid Fitter
  • Fair Lawn, NJ
National Provider Identifier
1952729659
Registry record updated Aug 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
Legal business name
GOTLIEB HEARING CENTER LIMITED LIABILITY COMPANY
Practice address
13-19 River Rd
Fair Lawn, NJ 07410-1837
Phone
(201) 703-6800
Fax
(201) 703-6805
NPI assigned
Apr 1, 2014
Last updated
Aug 8, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2014

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

Authorized official

Name
Erez Gotlieb
Title
President
Phone
(201) 703-6800

Specialties & licenses 1

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

Addresses

Primary practice location

13-19 River Rd
Fair Lawn, NJ 07410-1837

Mailing address

13-19 River Rd
Fair Lawn, NJ 07410-1837
Phone (201) 703-6800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140807001258 NJ Part B Supplier - Clinic/Group Practice 0749407203 Receives reassigned benefits from 4 practitioners
Practice locations: Fair Lawn, NJ

National Provider Directory

National Provider Directory

Locations

13-19A River Rd
Fair Lawn, NJ 07410
Phone (201) 703-6800

13-19B River Rd
Fair Lawn, NJ 07410
Phone (201) 703-6800

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1396310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407456000000",
    "number": "1952729659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13-19 RIVER RD",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074101837",
            "telephone_number": "201-703-6800",
            "fax_number": "201-703-6805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13-19 RIVER RD",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074101837",
            "telephone_number": "201-703-6800",
            "fax_number": "201-703-6805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOTLIEB HEARING CENTER LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-01",
        "last_updated": "2014-08-08",
        "status": "A",
        "authorized_official_last_name": "GOTLIEB",
        "authorized_official_first_name": "EREZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-703-6800"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Lawn, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.