Healthcare Provider Details

I. General information

NPI: 1780121715
Provider Name (Legal Business Name): UNIVERSAL HEARING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2017
Last Update Date: 05/27/2020
Certification Date: 05/27/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29 BELLEVILLE AVE SUITE 7
BLOOMFIELD NJ
07003-5220
US

IV. Provider business mailing address

131 ENTERPRISE RD
JOHNSTOWN NY
12095-3326
US

V. Phone/Fax

Practice location:
  • Phone: 973-743-9658
  • Fax:
Mailing address:
  • Phone: 401-353-4174
  • Fax: 401-488-5774

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: STEVE MARANDO
Title or Position: HEARING INSTRUMENT SPECIALIST
Credential:
Phone: 973-743-9658