Organization Active NPI

Garden State Hearing and Balance Center, Inc

  • Audiologist-Hearing Aid Fitter
  • Toms River, NJ
National Provider Identifier
1639178775
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
41YA00032200 Issued in NJ
Legal business name
GARDEN STATE HEARING AND BALANCE CENTER, INC
Practice address
250 Rte 37 W
Toms River, NJ 08755-8023
Phone
(732) 818-3610
Fax
(732) 818-3663
NPI assigned
Jul 20, 2005
Last updated
Jan 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

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

Authorized official

Name
Mr. Isidore Michael Kirsh, PHDNPI 1790780948
Title
President
Phone
(732) 818-3610

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 41YA00032200 NJ Primary
Audiologist-Hearing Aid Fitter 237600000X 25MG00067800 NJ
Hearing and Speech Clinic/Center 261QH0700X NU

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
0465611000OtherNJAMERIHEALTH GROUP

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040420000100 NJ Part B Supplier - Clinic/Group Practice 2668467499 Receives reassigned benefits from 4 practitioners
Practice locations: Whiting, NJ; Toms River, NJ

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705017600000",
    "number": "1639178775",
    "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": {
        "organization_name": "GARDEN STATE HEARING AND BALANCE CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-20",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A",
        "authorized_official_last_name": "KIRSH",
        "authorized_official_first_name": "ISIDORE",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-818-3610",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NJ",
            "license": "41YA00032200",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NJ",
            "license": "25MG00067800",
            "primary": false
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH GROUP",
            "identifier": "0465611000",
            "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 Jan 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.