=====================================================
General NPI Number Information
=====================================================
NPI Number | 1972729408
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | THE HEARING AID CENTER AT RIMM
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/17/2007
-----------------------------------------------------
Last Update Date | 02/23/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 95 MOUNT KEMBLE AVE ATLANTIC REHABILITATION INSTITUTE
-----------------------------------------------------
City | MORRISTOWN
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07960-5155
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 973-971-4471
-----------------------------------------------------
Fax | 973-290-7629
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 95 MOUNT KEMBLE AVE ATLANTIC REHABILITATION INSTITUTE
-----------------------------------------------------
City | MORRISTOWN
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07960-5155
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 973-971-4471
-----------------------------------------------------
Fax | 973-290-7629
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | SUPERVISING LICENSEE
-----------------------------------------------------
Name | MS. NOELLE BORSELLINO
-----------------------------------------------------
Credential | MS, CCC-A, FAAA
-----------------------------------------------------
Telephone | 973-971-4471
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 332B00000X
-----------------------------------------------------
Taxonomy Name | Durable Medical Equipment & Medical Supplies
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------