Provider Demographics
NPI:1861677031
Name:ADVANCED AUDIOLOGY & HEARING AID SERVICES
Entity type:Organization
Organization Name:ADVANCED AUDIOLOGY & HEARING AID SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:LIPTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-830-4700
Mailing Address - Street 1:107 NEWTOWN RD
Mailing Address - Street 2:SUITE 2A
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06810-4146
Mailing Address - Country:US
Mailing Address - Phone:203-830-4705
Mailing Address - Fax:203-730-4174
Practice Address - Street 1:107 NEWTOWN RD
Practice Address - Street 2:SUITE 2A
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06810-4146
Practice Address - Country:US
Practice Address - Phone:203-830-4705
Practice Address - Fax:203-730-4174
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ADVANCED SPECIALTY CARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-01-07
Last Update Date:2013-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Multi-Specialty
No237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Multi-Specialty
No332S00000XSuppliersHearing Aid EquipmentGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT004398138Medicaid