Provider Demographics
NPI:1801287032
Name:NEW JERSEY HEARING CENTER
Entity type:Organization
Organization Name:NEW JERSEY HEARING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:MAZZEO
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:609-481-2932
Mailing Address - Street 1:650 S WHITE HORSE PIKE
Mailing Address - Street 2:SUITE B
Mailing Address - City:HAMMONTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08037-2008
Mailing Address - Country:US
Mailing Address - Phone:609-481-2932
Mailing Address - Fax:609-481-2674
Practice Address - Street 1:650 S WHITE HORSE PIKE
Practice Address - Street 2:SUITE B
Practice Address - City:HAMMONTON
Practice Address - State:NJ
Practice Address - Zip Code:08037-2008
Practice Address - Country:US
Practice Address - Phone:609-481-2932
Practice Address - Fax:609-481-2674
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-10
Last Update Date:2015-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YA00083900261QH0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech