Individual provider Active NPI

Susan S. Harrison

  • Audiologist
  • Willow Grove, PA
National Provider Identifier
1104074111
Registry record updated Sep 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AT000188L Issued in PA
Practice address
723 Fitzwatertown Rd
Willow Grove, PA 19090-1332
Phone
(215) 659-8805
Fax
(215) 784-9729
NPI assigned
Sep 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AT000188L PA Primary

Addresses

Primary practice location

723 Fitzwatertown Rd
Willow Grove, PA 19090-1332

Mailing address

723 Fitzwatertown Rd
Willow Grove, PA 19090-1332
Phone (215) 659-8805

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20081125000669 PA Practitioner - Qualified Audiologist 3779643440 Reassigns benefits to 1 organization
I20180219001132 NJ Practitioner - Qualified Audiologist 3779643440 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ENT and Facial Plastic Surgical Associates, LLPGroup PAC ID 0143294074, shared by 2 NPIs, 8 clinicians

Practice addresses (Care Compare)

400 Middletown Blvd
Suite 100
Langhorne, PA 19047-1819
Phone (215) 757-7300

8 Quakerbridge PLZ
Trenton, NJ 08619-1284
Phone (609) 890-7800

Merit-based Incentive Payment System (MIPS)

Final score
98.51 of 100Reported as group
Quality
97.02
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AT000188LPAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
ENT & Facial Plastic Surgical Associates, LLP CurrentSince Dec 6, 2016 Accepting new patients
ENT & Facial Plastic Surgical Associates, LLP CurrentSince Dec 6, 2016 Accepting new patients

Locations

8 Quakerbridge Plz
Trenton, NJ 08619
Phone (609) 586-9666

400 Middletown Blvd
Ste 100
Langhorne, PA 19047
Phone (215) 757-7300

Organizations & group practices 2

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": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220400000000",
    "number": "1104074111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 FITZWATERTOWN RD",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190901332",
            "telephone_number": "215-659-8805",
            "fax_number": "215-784-9729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 FITZWATERTOWN RD",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190901332",
            "telephone_number": "215-659-8805",
            "fax_number": "215-784-9729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "SUSAN",
        "middle_name": "S.",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-03",
        "last_updated": "2008-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "PA",
            "license": "AT000188L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willow Grove, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; 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.