Healthcare Provider Details
I. General information
NPI: 1063191369
Provider Name (Legal Business Name): SHORE HEARING AID CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/13/2023
Last Update Date: 07/27/2023
Certification Date: 07/27/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
155 MIDDLE RD
HAZLET NJ
07730
US
IV. Provider business mailing address
2122 STATE ROUTE 35
OAKHURST NJ
07755
US
V. Phone/Fax
- Phone: 732-888-9000
- Fax: 732-440-3052
- Phone: 732-493-0900
- Fax: 732-440-3052
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332S00000X |
| Taxonomy | Hearing Aid Equipment |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 237700000X |
| Taxonomy | Hearing Instrument Specialist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JOSEPH
RINDER
Title or Position: PRESIDENT/OWNER
Credential: BC-HIS
Phone: 732-493-0900