Individual provider Active NPI

Joanne Greene, AUD

  • Audiologist
  • Newark, DE
National Provider Identifier
1073555702
Registry record updated Sep 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AT005943 Issued in PA
Practice address
774 Christiana Rd
Neuroscience BLDG Suite B4
Newark, DE 19713-4236
Phone
(302) 266-2449
Fax
(302) 266-2450
NPI assigned
Jun 10, 2006
Last updated
Sep 7, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 020000143 DE
Audiologist 231H00000X AT005943 PA Primary

Addresses

Primary practice location

774 Christiana Rd
Neuroscience BLDG Suite B4
Newark, DE 19713-4236

Mailing address

608 Barker Dr
West Chester, PA 19380-6348
Phone (484) 354-7256

Other identifiers 1

IdentifierTypeStateIssuer
O20000211OtherDESTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060509000713 DE Practitioner - Qualified Audiologist 8527079219 Reassigns benefits to 1 organization
I20090731000377 PA Practitioner - Qualified Audiologist 8527079219 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle ENT Alliance LLCGroup PAC ID 7416963988, 70 clinicians

Practice addresses (Care Compare)

21 Industrial Blvd
Suite 205
Paoli, PA 19301-1610
Phone (610) 296-5600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AT005943PAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ear, Nose and Throat Associates of Chester County CurrentSince Nov 1, 2015 Accepting new patients
Otolaryngology Physicians of Lancaster, LTD. CurrentSince Sep 6, 2011 Accepting new patients
ENT and Allergy of Delaware LLC CurrentSince Jan 1, 2015 Accepting new patients
Pinnacle ENT Alliance LLC CurrentSince Apr 1, 2023 Accepting new patients
Associates in Audiology of Chester County Audiologist CurrentSince May 1, 2023 Accepting new patients
Main Line Ear, Nose & Throat, PC Audiologist CurrentSince May 1, 2023 Accepting new patients
Advanced Ears Nose and Throat LLC Past Accepting new patients
Suburban Multispecialty Limited, LLC Audiologist Past Accepting new patients

Locations

700 Prides Xing
Ste 200
Newark, DE 19713

1401 Foulk Rd
Ste 205
Wilmington, DE 19803

111 Arrandale Blvd
Exton, PA 19341
Phone (610) 280-3279

407 W Lincoln Hwy
Ste 50
Exton, PA 19341
Phone (610) 363-1340

301 W Chester Pike
Ste 101
Havertown, PA 19083
Phone (610) 446-6900

810 Plaza Blvd
Lancaster, PA 17601
Phone (717) 394-5088

810 Plaza Blvd
Ste 102
Lancaster, PA 17601
Phone (717) 394-5088

21 Industrial Blvd
Ste 204
Paoli, PA 19301
Phone (610) 647-2747

21 Industrial Blvd
Ste 205
Paoli, PA 19301
Phone (610) 296-5600

994 Old Eagle School Rd
Ste 1017
Wayne, PA 19087
Phone (610) 902-6092

200 Willowbrook Ln
Ste 240
West Chester, PA 19382
Phone (610) 363-2532

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73431

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473206400000",
    "number": "1073555702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 BARKER DR",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193806348",
            "telephone_number": "484-354-7256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "774 CHRISTIANA RD",
            "address_2": "NEUROSCIENCE BLDG SUITE B4",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197134236",
            "telephone_number": "302-266-2449",
            "fax_number": "302-266-2450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "JOANNE",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-10",
        "last_updated": "2016-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "DE",
            "license": "020000143",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "PA",
            "license": "AT005943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "O20000211",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; 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.