Provider Demographics
NPI:1750633962
Name:HUNTERDON AUDIOLOGY ASSOCIATES LLC
Entity Type:Organization
Organization Name:HUNTERDON AUDIOLOGY ASSOCIATES LLC
Other - Org Name:HUNTERDON AUDIOLOGY ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JANET
Authorized Official - Middle Name:
Authorized Official - Last Name:MCGUIRE
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:908-806-7676
Mailing Address - Street 1:18 COMMERCE ST
Mailing Address - Street 2:
Mailing Address - City:FLEMINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08822-1743
Mailing Address - Country:US
Mailing Address - Phone:908-806-7676
Mailing Address - Fax:908-806-2228
Practice Address - Street 1:18 COMMERCE ST
Practice Address - Street 2:
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822-1743
Practice Address - Country:US
Practice Address - Phone:908-806-7676
Practice Address - Fax:908-806-2228
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-11
Last Update Date:2012-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ050800OtherHORIZON BLUE CROSS/SHIELD
NJ2603061OtherAETNA
NJP2532143OtherOXFORD
NJ2124360OtherUNITED HEALTHCARE
NJ402797-002OtherCIGNA
NJ050800Medicare PIN