Healthcare Provider Details

I. General information

NPI: 1104737014
Provider Name (Legal Business Name): UNITY AUDIOLOGY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29 CEDAR SWAMP RD
JACKSON NJ
08527-4502
US

IV. Provider business mailing address

29 CEDAR SWAMP RD
JACKSON NJ
08527-4502
US

V. Phone/Fax

Practice location:
  • Phone: 848-317-9366
  • Fax: 732-736-9413
Mailing address:
  • Phone: 848-317-9366
  • Fax: 732-736-9413

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State

VIII. Authorized Official

Name: DR. DR. LAURA PADHAM
Title or Position: OWNER
Credential: AUD
Phone: 732-691-1204