Individual provider Active NPI

Rachael Rennert, AUD

  • Audiologist
  • Toms River, NJ
National Provider Identifier
1336210616
Registry record updated Sep 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
YA 00526 Issued in NJ
Practice address
250 Rte 37 W
Toms River, NJ 08755-8023
Phone
(732) 818-3610
Fax
(732) 818-3663
NPI assigned
Nov 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X YA 00526 NJ Primary
Audiologist-Hearing Aid Fitter 237600000X MG 00920 NJ

Addresses

Primary practice location

250 Rte 37 W
Toms River, NJ 08755-8023

Mailing address

250 Rte 37 W
Toms River, NJ 08755-8023
Phone (732) 818-3610

Other identifiers 1

IdentifierTypeStateIssuer
YA00526OtherNJAUDIOLOGIST LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070430000426 NJ Practitioner - Qualified Audiologist 6901902410 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Medical Group of New JerseyGroup PAC ID 4082979166, 299 clinicians
Princeton Eye and Ear LLCGroup PAC ID 4587802996, 9 clinicians

Practice addresses (Care Compare)

2999 Princeton Pike
Suite 2
Lawrenceville, NJ 08648-3261
Phone (609) 403-8840

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
YA 00526NJMDAudiologist
MG 00920NJMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Princeton Eye & Ear LLC CurrentSince Feb 20, 2023 Accepting new patients
The Radiology Group of New Jersey, LLC CurrentSince Aug 25, 2025 Accepting new patients
Garden State Hearing and Balance Center, Inc Audiologist-Hearing Aid Fitter CurrentSince Mar 1, 2013 Accepting new patients
Jamie Lantz, LLC Audiologist Past Accepting new patients
Monmouth Digestive Health LLC PastSince Aug 17, 2020 Accepting new patients
Jill Gordon, Inc. Audiologist PastSince Jan 1, 1998 Accepting new patients

Locations

145 Wyckoff Rd
Ste 201
Eatontown, NJ 07724
Phone (732) 597-7333

901 W Main St
Ste 166
Freehold, NJ 07728
Phone (732) 431-2300

57 US Highway 46
Ste 212
Hackettstown, NJ 07840

651 Willow Grove St
Hackettstown, NJ 07840
Phone (908) 441-1161

2999 Princeton Pike
Ste 2
Lawrenceville, NJ 08648
Phone (609) 403-8840

175 High St
Newton, NJ 07860
Phone (973) 383-2121

250 Route 37 W
Toms River, NJ 08755
Phone (732) 818-3610

Interoperability endpoints

  • Direct secure messaging: rrennert@princetoneyeandear.emadirect.md

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348185600000",
    "number": "1336210616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 RTE 37 W",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087558023",
            "telephone_number": "732-818-3610",
            "fax_number": "732-818-3663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 RTE 37 W",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087558023",
            "telephone_number": "732-818-3610",
            "fax_number": "732-818-3663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENNERT",
        "first_name": "RACHAEL",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-10",
        "last_updated": "2012-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NJ",
            "license": "YA 00526",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NJ",
            "license": "MG 00920",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AUDIOLOGIST LICENSE",
            "identifier": "YA00526",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.