Provider Demographics
NPI:1174651947
Name:HILT, GARY D (AUD)
Entity Type:Individual
Prefix:
First Name:GARY
Middle Name:D
Last Name:HILT
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 ROBIN RD STE 320
Mailing Address - Street 2:
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652-1424
Mailing Address - Country:US
Mailing Address - Phone:201-796-3131
Mailing Address - Fax:239-217-7523
Practice Address - Street 1:205 ROBIN RD STE 320
Practice Address - Street 2:
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652-1424
Practice Address - Country:US
Practice Address - Phone:201-796-3131
Practice Address - Fax:239-217-7523
Is Sole Proprietor?:No
Enumeration Date:2007-03-01
Last Update Date:2020-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY1670231H00000X
NY000770-01231H00000X
NJ41YB00001100231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1995029004OtherCIGNA
NJ2K2216OtherHEALTHNET
NJ514357OtherAETNA
NJBS-593OtherOXFORD HEALTH PLANS
NJ1995029004OtherCIGNA
NJ0058696Medicaid