Healthcare Provider Details

I. General information

NPI: 1689729642
Provider Name (Legal Business Name): NEW JERSEY HEARING HEALTH CENTER INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2007
Last Update Date: 05/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1673 RT 88 WEST
BRICK NJ
08724
US

IV. Provider business mailing address

1673 RT 88 WEST
BRICK NJ
08724
US

V. Phone/Fax

Practice location:
  • Phone: 732-458-5050
  • Fax: 732-458-5723
Mailing address:
  • Phone: 732-458-5050
  • Fax: 732-458-5723

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License NumberMG00659
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License NumberVADD317
License Number StateNJ

VIII. Authorized Official

Name: DR. DONNA MARIE MERCHANT
Title or Position: DOCTOR OF AUDIOLOGY OWNER
Credential: AU.D.
Phone: 732-458-5050