Provider Demographics
NPI:1811010002
Name:AURICLE HEARING AID CENTER LLC
Entity Type:Organization
Organization Name:AURICLE HEARING AID CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:STEIN
Authorized Official - Suffix:
Authorized Official - Credentials:HEARING AID DISPENSE
Authorized Official - Phone:856-829-3800
Mailing Address - Street 1:700 ROUTE 130 N
Mailing Address - Street 2:SUITE 103
Mailing Address - City:CINNAMINSON
Mailing Address - State:NJ
Mailing Address - Zip Code:08077-3365
Mailing Address - Country:US
Mailing Address - Phone:856-829-3800
Mailing Address - Fax:
Practice Address - Street 1:700 ROUTE 130 N
Practice Address - Street 2:SUITE 103
Practice Address - City:CINNAMINSON
Practice Address - State:NJ
Practice Address - Zip Code:08077-3365
Practice Address - Country:US
Practice Address - Phone:856-829-3800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MG00068200174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ9045309Medicaid