Provider Demographics
NPI:1134813397
Name:AUDIOLOGY SERVICES OF NJ LLC
Entity type:Organization
Organization Name:AUDIOLOGY SERVICES OF NJ LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:E
Authorized Official - Last Name:MALYAROVICH
Authorized Official - Suffix:
Authorized Official - Credentials:SCD
Authorized Official - Phone:973-383-4100
Mailing Address - Street 1:39 NEWTON SPARTA RD STE 1C
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07860-2773
Mailing Address - Country:US
Mailing Address - Phone:973-383-4100
Mailing Address - Fax:
Practice Address - Street 1:39 NEWTON SPARTA RD STE 1C
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:NJ
Practice Address - Zip Code:07860-2773
Practice Address - Country:US
Practice Address - Phone:973-383-4100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-08
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty