Healthcare Provider Details

I. General information

NPI: 1710428990
Provider Name (Legal Business Name): HEARING HEALTH PA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2017
Last Update Date: 03/20/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2614 BRIDGE AVE
POINT PLEASANT NJ
08742-4200
US

IV. Provider business mailing address

2614 BRIDGE AVE
POINT PLEASANT NJ
08742-4200
US

V. Phone/Fax

Practice location:
  • Phone: 732-892-3882
  • Fax: 732-892-6248
Mailing address:
  • Phone: 732-892-3882
  • Fax: 732-892-6248

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number
License Number State

VIII. Authorized Official

Name: JONATHAN WEIZMAN
Title or Position: MANAGING MEMBER
Credential:
Phone: 973-588-7266