Healthcare Provider Details
I. General information
NPI: 1598021297
Provider Name (Legal Business Name): HEARING SOLUTIONS OF NJ, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/06/2012
Last Update Date: 04/06/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
44 MILLTOWN RD
EAST BRUNSWICK NJ
08816-2356
US
IV. Provider business mailing address
200 COTTONTAIL LN SUITE B203W
SOMERSET NJ
08873-1231
US
V. Phone/Fax
- Phone: 732-238-1664
- Fax: 732-613-9795
- Phone: 732-529-7120
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | |
| License Number State | NJ |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 237600000X |
| Taxonomy | Audiologist-Hearing Aid Fitter |
| License Number | |
| License Number State | NJ |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 231H00000X |
| Taxonomy | Audiologist |
| License Number | |
| License Number State | NJ |
VIII. Authorized Official
Name: MR.
AMIR
HADAR
Title or Position: PRESIDENT
Credential:
Phone: 732-529-7120