Healthcare Provider Details
I. General information
NPI: 1356680169
Provider Name (Legal Business Name): MR. JOSEPH RINDNER
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 02/14/2013
Last Update Date: 07/06/2023
Certification Date: 06/28/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2122 RTE 35
OAKHURST NJ
07755-7202
US
IV. Provider business mailing address
2122 STATE ROUTE 35
OAKHURST NJ
07755-7202
US
V. Phone/Fax
- Phone: 732-493-9000
- 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 | 174400000X |
| Taxonomy | Specialist |
| License Number | 25MG00054800 |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 237700000X |
| Taxonomy | Hearing Instrument Specialist |
| License Number | 25MG00054800 |
| License Number State | NJ |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: