Provider Demographics
NPI:1356680169
Name:RINDNER, JOSEPH
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:
Last Name:RINDNER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2122 STATE ROUTE 35
Mailing Address - Street 2:
Mailing Address - City:OAKHURST
Mailing Address - State:NJ
Mailing Address - Zip Code:07755-7202
Mailing Address - Country:US
Mailing Address - Phone:732-493-0900
Mailing Address - Fax:732-440-3052
Practice Address - Street 1:2122 RTE 35
Practice Address - Street 2:
Practice Address - City:OAKHURST
Practice Address - State:NJ
Practice Address - Zip Code:07755-7202
Practice Address - Country:US
Practice Address - Phone:732-493-9000
Practice Address - Fax:732-440-3052
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-14
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
25MG00054800174400000X
NJ25MG00054800237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0208558Medicaid