MEDICARE: NICOLE O'BRIEN

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	237700000X	Hearing Instrument Specialist	25MG00128100	NJ

General Provider Information

NPI Number	:	1720935646
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICOLE O'BRIEN

Provider Business Mailing Address
First Line	:	976 TIFFANY WALK
Second Line	:
City	:	TOMS RIVER
State	:	NJ
Zip	:	08753-8503
Country	:	US
Telephone Number	:	908-278-2188
Fax Number	:

Provider Business Practice Location Address
First Line	:	601 ROUTE 37 W
Second Line	:
City	:	TOMS RIVER
State	:	NJ
Zip	:	08755-8050
Country	:	US
Telephone Number	:	732-279-3134
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/11/2026
Last Update Date	:	03/11/2026

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Directions to “ NICOLE O'BRIEN ” Practice Location

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