Healthcare Provider Details

I. General information

NPI: 1649090366
Provider Name (Legal Business Name): BENJAMIN RINDNER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/16/2024
Last Update Date: 10/16/2024
Certification Date: 10/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2122 RTE 35
OAKHURST NJ
07755-7202
US

IV. Provider business mailing address

2122 RTE 35
OAKHURST NJ
07755-7202
US

V. Phone/Fax

Practice location:
  • Phone: 732-493-0900
  • Fax: 732-440-3052
Mailing address:
  • Phone: 732-493-0900
  • Fax: 732-440-3052

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number25MG00162900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: