{
"Npi": {
"NPI": "1689942401",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ACCUQUEST HEARING CENTER, LLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "2501 COTTONTAIL LN",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SOMERSET",
"MailingAddressStateName": "NJ",
"MailingAddressPostalCode": "08873-5125",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": null,
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "845 CHURCH ST N",
"SecondLinePracticeLocationAddress": "210",
"PracticeLocationAddressCityName": "CONCORD",
"PracticeLocationAddressStateName": "NC",
"PracticeLocationAddressPostalCode": "28025-4300",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "704-795-6002",
"PracticeLocationAddressFaxNumber": "704-795-6008",
"EnumerationDate": "12/07/2011",
"LastUpdateDate": "02/13/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BAZMI",
"AuthorizedOfficialFirstName": "BAHAR",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "VP, REVENUE CYCLE & PAYER RELATIONS",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "412-260-1504",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QH0700X",
"TaxonomyName": "Hearing and Speech Clinic/Center",
"LicenseNumber": "147000978",
"LicenseNumberStateCode": "IL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}