Provider Demographics
NPI:1639324098
Name:JAD HEARING AIDS, INC.
Entity Type:Organization
Organization Name:JAD HEARING AIDS, INC.
Other - Org Name:CONTEMPORARY HEARING AIDS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SETH
Authorized Official - Middle Name:
Authorized Official - Last Name:DANK
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:516-354-6882
Mailing Address - Street 1:1300 UNION TPKE
Mailing Address - Street 2:SUITE 103A
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11040-1759
Mailing Address - Country:US
Mailing Address - Phone:516-354-6882
Mailing Address - Fax:516-216-1175
Practice Address - Street 1:1300 UNION TPKE
Practice Address - Street 2:SUITE 103A
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11040-1759
Practice Address - Country:US
Practice Address - Phone:516-354-6882
Practice Address - Fax:516-216-1175
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-25
Last Update Date:2009-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000457261QH0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech
Provider Identifiers
StateIdentifier IDID TypeIssuer
M00682Medicare PIN