1245383421 NPI number — AUDIOLOGY SERVICES COMPANY USA, LLC

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1245383421 NPI number — AUDIOLOGY SERVICES COMPANY USA, LLC

Employer Identification Number (EIN):

Provider Organization Name:

AUDIOLOGY SERVICES COMPANY USA, LLC

Provider Last Name:

Provider First Name:

Provider Middle Name:

Provider Name Prefix Text:

Provider Name Suffix Text:

Provider Credential Text:

Provider Gender Code:

Provider Other Organization Name:

Provider Other Organization Name Type Code:

Provider Other Last Name:

Provider Other First Name:

Provider Other Middle Name:

Provider Other Name Prefix Text:

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Provider Other Credential Text:

Provider Other Last Name Type Code:

NPI Number:

1245383421

Entity Type Code:

Organization

Replacement NPI:

Last Update Date:

01/22/2025

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider First Line Business Mailing Address:

2501 COTTONTAIL LANE

Provider Second Line Business Mailing Address:

Provider Business Mailing Address City Name:

SOMERSET

Provider Business Mailing Address State Name:

NJ

Provider Business Mailing Address Postal Code:

08873-5125

Provider Business Mailing Address Country Code:

US

Provider Business Mailing Address Telephone Number:

732-529-7120

Provider Business Mailing Address Fax Number:

973-226-6700

Provider First Line Business Practice Location Address:

12 EISENHOWER PKWY STE 16

Provider Second Line Business Practice Location Address:

Provider Business Practice Location Address City Name:

ROSELAND

Provider Business Practice Location Address State Name:

NJ

Provider Business Practice Location Address Postal Code:

07068-1637

Provider Business Practice Location Address Country Code:

US

Provider Business Practice Location Address Telephone Number:

973-226-6700

Provider Business Practice Location Address Fax Number:

973-226-6722

Provider Enumeration Date:

01/19/2007

Authorized Official Last Name:

BAZMI

Authorized Official First Name:

BAHAR

Authorized Official Middle Name:

Authorized Official Title or Position:

VP, REV CYCLE AND PAYER RELATIONS

Authorized Official Telephone Number:

412-260-1504

• Taxonomy code: 237600000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
• Taxonomy code: 261QH0700X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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