Provider Demographics
NPI:1790804904
Name:21ST CENTURY HEARING CARE CENTER, LLC
Entity Type:Organization
Organization Name:21ST CENTURY HEARING CARE CENTER, LLC
Other - Org Name:BELTONE HEARING AID CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JOANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:SALVESEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-405-1480
Mailing Address - Street 1:183 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601-7302
Mailing Address - Country:US
Mailing Address - Phone:201-343-8181
Mailing Address - Fax:201-203-2083
Practice Address - Street 1:183 MAIN ST
Practice Address - Street 2:
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-7302
Practice Address - Country:US
Practice Address - Phone:201-343-8181
Practice Address - Fax:201-203-2083
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-28
Last Update Date:2013-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MG00067200237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty