Provider Demographics
NPI:1487894192
Name:AUDIOPEDICS LLC
Entity type:Organization
Organization Name:AUDIOPEDICS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST AND SPEECH PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:SHAILASHREE
Authorized Official - Middle Name:CHANNAPATNA
Authorized Official - Last Name:NANJUNDIAH
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:908-235-8234
Mailing Address - Street 1:456 US HIGHWAY 22 W
Mailing Address - Street 2:
Mailing Address - City:WHITEHOUSE STATION
Mailing Address - State:NJ
Mailing Address - Zip Code:08889-3439
Mailing Address - Country:US
Mailing Address - Phone:908-479-1341
Mailing Address - Fax:908-534-0144
Practice Address - Street 1:456 ROUTE 22 WEST
Practice Address - Street 2:
Practice Address - City:WHITEHOUSE STATION
Practice Address - State:NJ
Practice Address - Zip Code:08889-0000
Practice Address - Country:US
Practice Address - Phone:908-479-1341
Practice Address - Fax:908-534-0144
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-20
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MG00101000237600000X
NJ41YB00005600235Z00000X, 231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty