Provider Demographics
NPI:1972652964
Name:ACOUSTICON HASKILL INC
Entity Type:Organization
Organization Name:ACOUSTICON HASKILL INC
Other - Org Name:HASKILL HEARING AID CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:HASKILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-342-1080
Mailing Address - Street 1:255 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601-5704
Mailing Address - Country:US
Mailing Address - Phone:201-342-1080
Mailing Address - Fax:201-342-3464
Practice Address - Street 1:255 MAIN ST
Practice Address - Street 2:
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-5704
Practice Address - Country:US
Practice Address - Phone:201-342-1080
Practice Address - Fax:201-342-3464
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-09
Last Update Date:2011-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MG00009300332S00000X
NJ25MG00103800332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0781606Medicaid
NJ0781606Medicaid