Organization Name: | WISE HEARING NEW JERSEY LLC |
NPI Number: | 1124223417 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RUBEN DARIO HENRIQUEZ (AUDIOPROSTHOLOGIST) |
Mailing Address: | 600 Broadway Bayonne |
State: | NJ US |
Postal Code: | 070023819 |
Phone Number: | 2014552649 |
Fax Number: | 2014552651 |
NPI Enumeration Date: | 06/18/2007 |
NPI Last Update Date: | 11/30/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 237700000X |
License Number: | 25MG00075800 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Hearing Instrument Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |