Provider Demographics
NPI:1689944092
Name:NEW AGE SYSTEMS INC.
Entity Type:Organization
Organization Name:NEW AGE SYSTEMS INC.
Other - Org Name:PROFESSIONAL HEARING AID SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TED
Authorized Official - Middle Name:SEUNG-IL
Authorized Official - Last Name:PARK
Authorized Official - Suffix:
Authorized Official - Credentials:BC-HIS
Authorized Official - Phone:202-785-8704
Mailing Address - Street 1:2141 K ST NW LBBY 2
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20037-1810
Mailing Address - Country:US
Mailing Address - Phone:202-785-8704
Mailing Address - Fax:202-464-0039
Practice Address - Street 1:2141 K ST NW LBBY 2
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037-1810
Practice Address - Country:US
Practice Address - Phone:202-785-8704
Practice Address - Fax:202-464-0039
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NEW AGE SYSTEMS INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-01-03
Last Update Date:2012-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCAUD000077231H00000X
MD02077237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Multi-Specialty
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty