Individual provider Active NPI

Isidore Michael Kirsh, PH.D.

  • Audiologist-Hearing Aid Fitter
  • Toms River, NJ
National Provider Identifier
1790780948
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
25MG00067800 Issued in NJ
Practice address
83 Rte 37 W
Toms River, NJ 08755-6405
Phone
(732) 818-3610
Fax
(732) 818-3663
NPI assigned
Jun 15, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 25MG00067800 NJ Primary
Audiologist 231H00000X 41YA00032200 NJ

Addresses

Primary practice location

83 Rte 37 W
Toms River, NJ 08755-6405

Mailing address

250 Rte 37 W
Toms River, NJ 08755-8023
Phone (732) 818-3620

Other identifiers 9

IdentifierTypeStateIssuer
4899827OtherNJGHI
5815540OtherNJAETNA
7297705OtherNJCIGNA PPO
VS074OtherNJOXFORD
7297705003OtherNJCIGNA HMO
978761OtherNJHEALTHNET
223150885OtherNJHORIZONBCBSNJ
60003396OtherNJHORIZONMERCY
MOW471OtherNJEMPIRE BCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040423000259 NJ Practitioner - Qualified Audiologist 2062408149 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Garden State Hearing and Balance Center, IncGroup PAC ID 2668467499, 2 clinicians

Practice addresses (Care Compare)

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
41YA00032200NJMDAudiologist
25MG00067800NJMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Garden State Hearing and Balance Center, Inc Audiologist-Hearing Aid Fitter CurrentSince Aug 6, 1991 Accepting new patients
Mobile Audiology Associates, PC Audiologist Past Accepting new patients
Jeffrey L. Morer, OD, PC Past Accepting new patients

Locations

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

75 Lacey Rd
Ste 1B
Whiting, NJ 08759
Phone (732) 818-3611

Organizations & group practices 3

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": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1790780948",
    "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": "732-818-3620",
            "fax_number": "732-818-3663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 RTE 37 W",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087556405",
            "telephone_number": "732-818-3610",
            "fax_number": "732-818-3663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRSH",
        "first_name": "ISIDORE",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NJ",
            "license": "25MG00067800",
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NJ",
            "license": "41YA00032200",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "4899827",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5815540",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PPO",
            "identifier": "7297705",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "VS074",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HMO",
            "identifier": "7297705003",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "978761",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZONBCBSNJ",
            "identifier": "223150885",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZONMERCY",
            "identifier": "60003396",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BCBS",
            "identifier": "MOW471",
            "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 15, 2024; 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.