Individual provider Active NPI

Edward Samuel Laduca, HEARING AID DISPENSE

  • Specialist
  • Union, NJ
National Provider Identifier
1972623619
Registry record updated Oct 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25MG00071100 Issued in NJ
Practice address
2008 Morris Ave
Union, NJ 07083-6014
Phone
(908) 687-2636
NPI assigned
Mar 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 25MG00071100 NJ Primary

Addresses

Primary practice location

2008 Morris Ave
Union, NJ 07083-6014

Mailing address

8 Birch LN
Harding Green
Morristown, NJ 07960-6771
Phone (973) 986-4388

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
25MG00071100NJMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383177600000",
    "number": "1972623619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 BIRCH LN",
            "address_2": "HARDING GREEN",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079606771",
            "telephone_number": "973-986-4388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2008 MORRIS AVE",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070836014",
            "telephone_number": "908-687-2636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LADUCA",
        "first_name": "EDWARD",
        "middle_name": "SAMUEL",
        "name_prefix": "Mr.",
        "credential": "HEARING AID DISPENSE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2013-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MG00071100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2013; 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.