Provider Demographics
NPI:1003442401
Name:AUDIOLOGY CENTER OF NJ
Entity Type:Organization
Organization Name:AUDIOLOGY CENTER OF NJ
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MARYAM
Authorized Official - Middle Name:
Authorized Official - Last Name:ESMAELI-SALARI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-452-4883
Mailing Address - Street 1:303 SOUTH DENNIS RD
Mailing Address - Street 2:
Mailing Address - City:CAPE MAY COURT HOUSE
Mailing Address - State:NJ
Mailing Address - Zip Code:08210-1973
Mailing Address - Country:US
Mailing Address - Phone:201-247-6608
Mailing Address - Fax:888-836-8895
Practice Address - Street 1:303 SOUTH DENNIS RD
Practice Address - Street 2:
Practice Address - City:CAPE MAY COURT HOUSE
Practice Address - State:NJ
Practice Address - Zip Code:08210-1973
Practice Address - Country:US
Practice Address - Phone:014-524-8832
Practice Address - Fax:888-836-8895
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AUDIOLOGY CENTER OF MARYLAND
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-03-17
Last Update Date:2020-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty