MEDICARE: HOUSEOFHEARINGAIDSINC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332S00000X	Hearing Aid Equipment	25MG00037400	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1205983780
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOUSEOFHEARINGAIDSINC

Provider Business Mailing Address
First Line	:	2614 BRIDGE AVE
Second Line	:
City	:	POINT PLEASANT BORO
State	:	NJ
Zip	:	08742-4263
Country	:	US
Telephone Number	:	732-892-3882
Fax Number	:	732-892-6248

Provider Business Practice Location Address
First Line	:	2614 BRIDGE AVE
Second Line	:
City	:	POINT PLEASANT BORO
State	:	NJ
Zip	:	08742-4263
Country	:	US
Telephone Number	:	732-892-3882
Fax Number	:	732-892-6248

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. GAIL R GROB
Credential	:	HEARINGAIDSPECIALIST
Telephone Number	:	783-892-3882

Provider Enumeration Date	:	01/05/2007
Last Update Date	:	08/22/2020

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