Healthcare Provider Details

I. General information

NPI: 1235078973
Provider Name (Legal Business Name): AUDIOLOGY SPEECH & HEARING AID DISPENSING ASSOC OF NJ
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2026
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1941 OAK TREE RD STE 304
EDISON NJ
08820-2068
US

IV. Provider business mailing address

1941 OAK TREE RD STE 304
EDISON NJ
08820-2068
US

V. Phone/Fax

Practice location:
  • Phone: 736-636-2645
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number State

VIII. Authorized Official

Name: ALEXSANDRA BUCKLEY
Title or Position: OWNER/AUD
Credential:
Phone: 736-636-2645