Healthcare Provider Details

I. General information

NPI: 1831601103
Provider Name (Legal Business Name): AUDIOLOGY SERVICES COMPANY USA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/26/2017
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 EISENHOWER PKWY STE 16
ROSELAND NJ
07068-1637
US

IV. Provider business mailing address

580 HOWARD AVE
SOMERSET NJ
08873-1113
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JOHN DEMMA JR.
Title or Position: PRESIDENT
Credential:
Phone: 914-325-2556