Kimberly L Rudolph, AUD

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

25MG000125800 Issued in NJ

Practice address

250 Route 37 W
Toms River, NJ 08755-8023

Phone

(732) 818-3610

Fax

(732) 818-3663

NPI assigned

Jun 21, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Kimberly L Richards Former name

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ear Nose Throat of New Jersey, P.a.

  • Specialist
  • Toms River, NJ
  • NPI 1275651788
  Medicare reassignment NPD
• Garden State Hearing and Balance Center, Inc

  • Audiologist-Hearing Aid Fitter
  • Toms River, NJ
  • NPI 1639178775
  Medicare reassignment NPD

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

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452470400000",
    "number": "1659634996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 ROUTE 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 ROUTE 37 W",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087558023",
            "telephone_number": "732-818-3610",
            "fax_number": "732-818-3663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDOLPH",
        "first_name": "KIMBERLY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-21",
        "last_updated": "2016-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NJ",
            "license": "41YA00082300",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NJ",
            "license": "25MG000125800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "RICHARDS",
            "middle_name": "L",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sean C Rowland, MD
• RSBM Operator LLC
• Esther Rubinfeld, FNP
• Joseph Anthony Rubulotta Jr., DMD
• Jason Thomas Ruch, PSY.D
• Jordan Brielle Rudy, PA-C
• Randy Rueda-Rivera, MD
• Mary Elizabeth Rugar, NP
• Michael Ruggiero
• John A Runfolo, PT

• Audiologist-Hearing Aid Fitter in Toms River, NJ
• Providers in Toms River, NJ by specialty
• Audiologist-Hearing Aid Fitter in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2016; 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.