Provider Demographics
NPI:1831302405
Name:ROBERT C.TROAST PA
Entity Type:Organization
Organization Name:ROBERT C.TROAST PA
Other - Org Name:TROAST VISION & HEARING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:K
Authorized Official - Last Name:TROAST
Authorized Official - Suffix:
Authorized Official - Credentials:OPTICIAN HEARING
Authorized Official - Phone:201-445-0486
Mailing Address - Street 1:17 GODWIN AVE
Mailing Address - Street 2:
Mailing Address - City:RIDGEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07450-3705
Mailing Address - Country:US
Mailing Address - Phone:201-445-0486
Mailing Address - Fax:
Practice Address - Street 1:17 GODWIN AVE
Practice Address - Street 2:
Practice Address - City:RIDGEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07450-3705
Practice Address - Country:US
Practice Address - Phone:201-445-0486
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1238332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0718920001Medicare ID - Type UnspecifiedPIN SUPPLIER#