Provider Demographics
NPI:1356556617
Name:AUDIOLOGICAL CONSULTANTS, INC.
Entity type:Organization
Organization Name:AUDIOLOGICAL CONSULTANTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:ELYSE
Authorized Official - Middle Name:
Authorized Official - Last Name:OCKNER
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-A
Authorized Official - Phone:856-667-5110
Mailing Address - Street 1:401 COOPER LANDING RD
Mailing Address - Street 2:SUITE C-7
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08002-2517
Mailing Address - Country:US
Mailing Address - Phone:856-667-5110
Mailing Address - Fax:856-667-5119
Practice Address - Street 1:401 COOPER LANDING RD
Practice Address - Street 2:SUITE C-7
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08002-2517
Practice Address - Country:US
Practice Address - Phone:856-667-5110
Practice Address - Fax:856-667-5119
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MG00014900332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ2611902Medicaid
206310Medicare ID - Type Unspecified
NJ2611902Medicaid