Healthcare Provider Details

I. General information

NPI: 1245383421
Provider Name (Legal Business Name): AUDIOLOGY SERVICES COMPANY USA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/19/2007
Last Update Date: 01/22/2025
Certification Date: 01/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 EISENHOWER PKWY STE 16
ROSELAND NJ
07068-1637
US

IV. Provider business mailing address

2501 COTTONTAIL LANE
SOMERSET NJ
08873-5125
US

V. Phone/Fax

Practice location:
  • Phone: 973-226-6700
  • Fax: 973-226-6722
Mailing address:
  • Phone: 732-529-7120
  • Fax: 973-226-6700

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: BAHAR BAZMI
Title or Position: VP, REV CYCLE AND PAYER RELATIONS
Credential:
Phone: 412-260-1504