Provider Demographics
NPI:1417350703
Name:AUDIOLOGY DISTRIBUTION
Entity Type:Organization
Organization Name:AUDIOLOGY DISTRIBUTION
Other - Org Name:HEAR USA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LICENSED HEARING AID SPECIALIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:NAAMA
Authorized Official - Middle Name:
Authorized Official - Last Name:HADAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-584-2098
Mailing Address - Street 1:69 SUNSET STRIP
Mailing Address - Street 2:RT 10 EAST
Mailing Address - City:SUCCASUNNA
Mailing Address - State:NJ
Mailing Address - Zip Code:07876-1311
Mailing Address - Country:US
Mailing Address - Phone:973-584-2098
Mailing Address - Fax:973-584-2106
Practice Address - Street 1:1250 NORTHPOINT PKWY
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-1912
Practice Address - Country:US
Practice Address - Phone:561-478-8770
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-01
Last Update Date:2014-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MG00132600332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ25MG00132600OtherNJ HEARING AID DISPENSER LICENSE