Provider Demographics
NPI:1518745678
Name:MLM USA LLC
Entity Type:Organization
Organization Name:MLM USA LLC
Other - Org Name:BELTONE HEARING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CREDENTIALING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:PYRTKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:470-591-4046
Mailing Address - Street 1:35 WATERVIEW BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:PARSIPPANY
Mailing Address - State:NJ
Mailing Address - Zip Code:07054-7602
Mailing Address - Country:US
Mailing Address - Phone:973-794-6767
Mailing Address - Fax:
Practice Address - Street 1:4310 MEDICAL CENTER DR STE 310
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NY
Practice Address - Zip Code:13066-6625
Practice Address - Country:US
Practice Address - Phone:315-329-7250
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-20
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty
No237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Multi-Specialty
No332S00000XSuppliersHearing Aid EquipmentGroup - Multi-Specialty