Provider Demographics
NPI:1972729408
Name:THE HEARING AID CENTER AT RIMM
Entity Type:Organization
Organization Name:THE HEARING AID CENTER AT RIMM
Other - Org Name:ATLANTIC REHABILITATION INSTITUTE
Other - Org Type:Other Name
Authorized Official - Title/Position:SUPERVISING LICENSEE
Authorized Official - Prefix:MS
Authorized Official - First Name:NOELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:BORSELLINO
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-A, FAAA
Authorized Official - Phone:973-971-4471
Mailing Address - Street 1:95 MOUNT KEMBLE AVE
Mailing Address - Street 2:ATLANTIC REHABILITATION INSTITUTE
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-5155
Mailing Address - Country:US
Mailing Address - Phone:973-971-4471
Mailing Address - Fax:973-290-7629
Practice Address - Street 1:95 MOUNT KEMBLE AVE
Practice Address - Street 2:ATLANTIC REHABILITATION INSTITUTE
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-5155
Practice Address - Country:US
Practice Address - Phone:973-971-4471
Practice Address - Fax:973-290-7629
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-17
Last Update Date:2023-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ5565201Medicaid