Provider Demographics
NPI:1164066478
Name:ALPACA AUDIOLOGY IN & VA LLC
Entity Type:Organization
Organization Name:ALPACA AUDIOLOGY IN & VA LLC
Other - Org Name:HEARING HEALTH PA
Other - Org Type:Other Name
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:VESELY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-588-7266
Mailing Address - Street 1:35 WATERVIEW BLVD STE 303
Mailing Address - Street 2:
Mailing Address - City:PARSIPPANY
Mailing Address - State:NJ
Mailing Address - Zip Code:07054-7604
Mailing Address - Country:US
Mailing Address - Phone:973-588-7266
Mailing Address - Fax:
Practice Address - Street 1:9625 SURVEYOR CT STE 120
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20110-4408
Practice Address - Country:US
Practice Address - Phone:703-369-0900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-30
Last Update Date:2022-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty