Provider Demographics
NPI:1407727399
Name:NEUROHEAR LLC
Entity type:Organization
Organization Name:NEUROHEAR LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST/MEMBER OF LLC
Authorized Official - Prefix:
Authorized Official - First Name:INA
Authorized Official - Middle Name:
Authorized Official - Last Name:SELITA
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:917-208-3476
Mailing Address - Street 1:188 E. BERGEN PLACE
Mailing Address - Street 2:SUITE 301
Mailing Address - City:RED BANK
Mailing Address - State:NJ
Mailing Address - Zip Code:07701
Mailing Address - Country:US
Mailing Address - Phone:732-842-1971
Mailing Address - Fax:
Practice Address - Street 1:188 E. BERGEN PLACE
Practice Address - Street 2:SUITE 301
Practice Address - City:RED BANK
Practice Address - State:NJ
Practice Address - Zip Code:07701
Practice Address - Country:US
Practice Address - Phone:732-842-1971
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-15
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty