| Nj Audiology Group Inc | |
|
8901 Kennedy Blvd Ste 4s North Bergen NJ 07047-5345 | |
| (201) 472-8500 | |
| (201) 472-8501 |
| Full Name | Nj Audiology Group Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 8901 Kennedy Blvd Ste 4s, North Bergen, New Jersey |
| Authorized Official Name and Position | Pam Long (ADMINISTRATOR) |
| Authorized Official Contact | 2014728500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nj Audiology Group Inc 8901 Kennedy Blvd Ste 4s North Bergen NJ 07047-5345 Ph: (201) 472-8500 | Nj Audiology Group Inc 8901 Kennedy Blvd Ste 4s North Bergen NJ 07047-5345 Ph: (201) 472-8500 |
| NPI Number | 1184357683 |
|---|---|
| Provider Enumeration Date | 07/03/2022 |
| Last Update Date | 02/12/2024 |
| Medicare PECOS PAC ID | 2769865476 |
|---|---|
| Medicare Enrollment ID | O20220812002314 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184357683 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Ayo Ogunlusi |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1033199211 PECOS PAC ID: 5597782029 Enrollment ID: I20090430000119 |
| Provider Name | Dolores Boisselle |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1851535934 PECOS PAC ID: 8921277609 Enrollment ID: I20110815000464 |
| Provider Name | Anum Hassan |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1013492271 PECOS PAC ID: 8123372059 Enrollment ID: I20181113001590 |
| Provider Name | Jonathan Agosto |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1518518851 PECOS PAC ID: 3173957149 Enrollment ID: I20191227001484 |
| Provider Name | Jasmin Butler |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1831874320 PECOS PAC ID: 5496117319 Enrollment ID: I20230809002743 |
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