Individual provider Active NPI

Jessica Robin Martorana, M.S.W.

  • Social Worker
  • Newtown, PA
National Provider Identifier
1003988452
Registry record updated Mar 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW125214 Issued in PA
Practice address
22 S State St
Newtown, PA 18940-3507
Phone
(215) 579-4116
NPI assigned
Nov 14, 2006
Reactivated
Mar 8, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW125214 PA Primary

Addresses

Primary practice location

22 S State St
Newtown, PA 18940-3507

Mailing address

22 S State St
Newtown, PA 18940-3507
Phone (215) 579-4116

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SW125214PAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332201600000",
    "number": "1003988452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 S STATE ST",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189403507",
            "telephone_number": "215-579-4116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 S STATE ST",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189403507",
            "telephone_number": "215-579-4116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTORANA",
        "first_name": "JESSICA",
        "middle_name": "ROBIN",
        "name_prefix": "Mrs.",
        "credential": "M.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2012-03-20",
        "deactivation_date": "2007-12-07",
        "reactivation_date": "2012-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW125214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newtown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; 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.