Provider Demographics
NPI:1174825137
Name:RARITAN VALLEY AUDIOLOGY, LLC
Entity Type:Organization
Organization Name:RARITAN VALLEY AUDIOLOGY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FARAH
Authorized Official - Middle Name:M
Authorized Official - Last Name:HUSSAIN-SAID
Authorized Official - Suffix:
Authorized Official - Credentials:AUDIO
Authorized Official - Phone:908-248-4327
Mailing Address - Street 1:215 UNION AVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:BRIDGEWATER
Mailing Address - State:NJ
Mailing Address - Zip Code:08807-3063
Mailing Address - Country:US
Mailing Address - Phone:908-248-4327
Mailing Address - Fax:908-573-5773
Practice Address - Street 1:215 UNION AVE
Practice Address - Street 2:SUITE C
Practice Address - City:BRIDGEWATER
Practice Address - State:NJ
Practice Address - Zip Code:08807-3063
Practice Address - Country:US
Practice Address - Phone:908-248-4327
Practice Address - Fax:908-573-5773
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-24
Last Update Date:2016-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YA00078100231H00000X
NJ1155332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
No332S00000XSuppliersHearing Aid EquipmentGroup - Single Specialty