Provider Demographics
NPI:1396348959
Name:NORTHEAST OCCUPATIONAL AUDIOLOGY ASSOCIATES LLC
Entity type:Organization
Organization Name:NORTHEAST OCCUPATIONAL AUDIOLOGY ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF AUDIOLOGY
Authorized Official - Prefix:DR
Authorized Official - First Name:DEANENE
Authorized Official - Middle Name:V
Authorized Official - Last Name:HIGHTOWER
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:201-645-5440
Mailing Address - Street 1:2 UNIVERSITY PLZ STE 630
Mailing Address - Street 2:
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601-6210
Mailing Address - Country:US
Mailing Address - Phone:201-645-5440
Mailing Address - Fax:201-645-5443
Practice Address - Street 1:2 UNIVERSITY PLZ STE 630
Practice Address - Street 2:
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-6210
Practice Address - Country:US
Practice Address - Phone:201-645-5440
Practice Address - Fax:201-645-5443
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-17
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty