Provider Demographics
NPI:1639537954
Name:INNOVATIVE HEARING SOLUTIONS
Entity Type:Organization
Organization Name:INNOVATIVE HEARING SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:CATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:GASS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-666-8787
Mailing Address - Street 1:354 OLD HOOK RD STE 204
Mailing Address - Street 2:
Mailing Address - City:WESTWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07675-3248
Mailing Address - Country:US
Mailing Address - Phone:201-666-8787
Mailing Address - Fax:201-358-6686
Practice Address - Street 1:354 OLD HOOK RD STE 204
Practice Address - Street 2:
Practice Address - City:WESTWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07675-3248
Practice Address - Country:US
Practice Address - Phone:201-666-8787
Practice Address - Fax:201-358-6686
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-01
Last Update Date:2016-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MG00048900237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty