Provider Demographics
NPI:1245383421
Name:AUDIOLOGY SERVICES COMPANY USA, LLC
Entity type:Organization
Organization Name:AUDIOLOGY SERVICES COMPANY USA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP, REV CYCLE AND PAYER RELATIONS
Authorized Official - Prefix:
Authorized Official - First Name:BAHAR
Authorized Official - Middle Name:
Authorized Official - Last Name:BAZMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-260-1504
Mailing Address - Street 1:2501 COTTONTAIL LANE
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-5125
Mailing Address - Country:US
Mailing Address - Phone:732-529-7120
Mailing Address - Fax:973-226-6700
Practice Address - Street 1:12 EISENHOWER PKWY STE 16
Practice Address - Street 2:
Practice Address - City:ROSELAND
Practice Address - State:NJ
Practice Address - Zip Code:07068-1637
Practice Address - Country:US
Practice Address - Phone:973-226-6700
Practice Address - Fax:973-226-6722
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-19
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0044679Medicaid
NJ0058581Medicaid
NJ0044717Medicaid
NJ0044725Medicaid
NJ0044695Medicaid
NJ0065021Medicaid
NJ0044539Medicaid
NJ0123102Medicaid
NJ0044946Medicaid
NJ0047074Medicaid
NJ007616Medicaid
NJ8293007Medicaid