Healthcare Provider Details

I. General information

NPI: 1164198404
Provider Name (Legal Business Name): HEAR AT HOME AUDIOLOGY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2021
Last Update Date: 08/17/2021
Certification Date: 08/17/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 HIGHPOINT AVE
WEEHAWKEN NJ
07086-5603
US

IV. Provider business mailing address

108 HIGHPOINT AVE
WEEHAWKEN NJ
07086-5603
US

V. Phone/Fax

Practice location:
  • Phone: 201-731-8828
  • Fax:
Mailing address:
  • Phone: 201-731-8828
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number
License Number State

VIII. Authorized Official

Name: MR. MICHAEL DURAZZO
Title or Position: CEO
Credential:
Phone: 201-731-8828