Provider Demographics
NPI:1487337705
Name:NJR HEARING AID CENTER
Entity type:Organization
Organization Name:NJR HEARING AID CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:NELTON
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:ROBERTSON
Authorized Official - Suffix:III
Authorized Official - Credentials:SPECIALIST
Authorized Official - Phone:310-227-6604
Mailing Address - Street 1:4477 W 118TH ST STE 403
Mailing Address - Street 2:
Mailing Address - City:HAWTHORNE
Mailing Address - State:CA
Mailing Address - Zip Code:90250-2231
Mailing Address - Country:US
Mailing Address - Phone:310-227-6604
Mailing Address - Fax:310-644-7222
Practice Address - Street 1:4477 W 118TH ST STE 403
Practice Address - Street 2:
Practice Address - City:HAWTHORNE
Practice Address - State:CA
Practice Address - Zip Code:90250-2231
Practice Address - Country:US
Practice Address - Phone:310-227-6604
Practice Address - Fax:310-644-7222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-11
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Multi-Specialty