Provider Demographics
NPI:1437148129
Name:AUDIOLOGY 2000 INC
Entity Type:Organization
Organization Name:AUDIOLOGY 2000 INC
Other - Org Name:S-CORDONAMUN
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT AUDIOLOGY 2000 INC
Authorized Official - Prefix:DR
Authorized Official - First Name:THERESE
Authorized Official - Middle Name:
Authorized Official - Last Name:DEIERLEIN
Authorized Official - Suffix:
Authorized Official - Credentials:AUD CCCD
Authorized Official - Phone:201-836-8058
Mailing Address - Street 1:250 FORT LEE RD
Mailing Address - Street 2:#C AUDIOLOGY 2000 INC
Mailing Address - City:TEANECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07666
Mailing Address - Country:US
Mailing Address - Phone:201-836-8058
Mailing Address - Fax:201-836-8057
Practice Address - Street 1:34 EAST 67TH ST
Practice Address - Street 2:STE 4-F AUDIOLOGY 2000 INC
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021
Practice Address - Country:US
Practice Address - Phone:212-628-2710
Practice Address - Fax:212-628-3580
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
2394820OtherUNITED HEALTHCARE
4899742OtherGHI
6988043OtherCIGNA
1000044420OtherAFFINITY HEALTH PLANS
P3163299OtherOXFORD
M8W861OtherGROUP #
3C5894OtherHEALTHNET
M73741OtherEMPIRE BCBS THERESE D