Provider Demographics
NPI:1740453257
Name:ADVANCED HEARING CENTER LLC
Entity type:Organization
Organization Name:ADVANCED HEARING CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHANA
Authorized Official - Middle Name:ESTHER
Authorized Official - Last Name:SCHECHTER
Authorized Official - Suffix:
Authorized Official - Credentials:MACCC-A
Authorized Official - Phone:732-367-4327
Mailing Address - Street 1:4 ROSE PL
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-4705
Mailing Address - Country:US
Mailing Address - Phone:732-367-4327
Mailing Address - Fax:775-249-7850
Practice Address - Street 1:4 ROSE PL
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-4705
Practice Address - Country:US
Practice Address - Phone:732-367-4327
Practice Address - Fax:775-249-7850
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-04
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6022546-003OtherCIGNA
NJP2694455OtherOXFORD
NJ002225136002OtherUNITED HEALTHCARE
NJ010005384-01OtherAMERICHOICE
NJ3055866OtherAETNA
NJ2K2962OtherHEALTHNET
NJ6022546-003OtherCIGNA
NJ=========OtherHORIZON