Provider Demographics
NPI:1467406694
Name:THE HEARING CENTER, PC
Entity Type:Organization
Organization Name:THE HEARING CENTER, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MEREDITH
Authorized Official - Middle Name:
Authorized Official - Last Name:ROTHENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:732-574-3550
Mailing Address - Street 1:48 BRANT AVE
Mailing Address - Street 2:
Mailing Address - City:CLARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07066-1534
Mailing Address - Country:US
Mailing Address - Phone:732-574-3550
Mailing Address - Fax:732-574-2632
Practice Address - Street 1:48 BRANT AVE
Practice Address - Street 2:
Practice Address - City:CLARK
Practice Address - State:NJ
Practice Address - Zip Code:07066-1534
Practice Address - Country:US
Practice Address - Phone:732-574-3550
Practice Address - Fax:732-574-2632
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-20
Last Update Date:2009-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YA00004200237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ3302407Medicaid
NJ860716Medicare PIN