Healthcare Provider Details
I. General information
NPI: 1548478134
Provider Name (Legal Business Name): THE HEARING GROUP, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/18/2007
Last Update Date: 03/03/2022
Certification Date: 03/03/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1001 PLEASANT VALLEY WAY STE 4
WEST ORANGE NJ
07052-1426
US
IV. Provider business mailing address
1001 PLEASANT VALLEY WAY STE 4
WEST ORANGE NJ
07052-1426
US
V. Phone/Fax
- Phone: 973-243-8860
- Fax: 973-243-8863
- Phone: 973-243-8860
- Fax: 973-243-8863
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 231H00000X |
| Taxonomy | Audiologist |
| License Number | 41YA00045100 |
| License Number State | NJ |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 237600000X |
| Taxonomy | Audiologist-Hearing Aid Fitter |
| License Number | 25MG00091700 |
| License Number State | NJ |
VIII. Authorized Official
Name: DR.
ROBERTA
HERSHON SCHNEIDER
Title or Position: MANAGING MEMBER
Credential: AU.D.
Phone: 973-243-8860