Port Tack, LLC.

Primary specialty

Hearing Aid EquipmentTaxonomy code 332S00000X

Legal business name

PORT TACK, LLC.

Doing business as

Zounds Jersey Shore

Practice address

1195 Route 70
Unit 1007
Lakewood, NJ 08701-5946

Phone

(732) 994-7550

NPI assigned

Sep 9, 2014

Last updated

Sep 9, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jay Lutz

Title

Owner

Phone

(281) 787-6367

Specialties & licenses 1

Addresses

Other names 1

• Zounds Jersey Shore Doing business as

Locations

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

{
    "created_epoch": "1410220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410220800000",
    "number": "1417358557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1156",
            "city": "KEMAH",
            "state": "TX",
            "postal_code": "775651156",
            "telephone_number": "281-787-6367",
            "fax_number": "405-603-2207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1195 ROUTE 70",
            "address_2": "UNIT 1007",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015946",
            "telephone_number": "732-994-7550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORT TACK, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-09",
        "last_updated": "2014-09-09",
        "status": "A",
        "authorized_official_last_name": "LUTZ",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-787-6367"
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Zounds Jersey Shore",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Hearing Aid Equipment in Lakewood, NJ
• Providers in Lakewood, NJ by specialty
• Hearing Aid Equipment in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.