Mary Jane Tantillo, M.A.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AT000163L Issued in PA

Practice address

1650 Huntingdon Pike
Suite 214
Meadowbrook, PA 19046-8004

Phone

(215) 938-8400

NPI assigned

Feb 7, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144360645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3860 TERWOOD DR",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189015602",
            "telephone_number": "215-345-4286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 HUNTINGDON PIKE",
            "address_2": "SUITE 214",
            "city": "MEADOWBROOK",
            "state": "PA",
            "postal_code": "190468004",
            "telephone_number": "215-938-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANTILLO",
        "first_name": "MARY",
        "middle_name": "JANE",
        "name_prefix": "Mrs.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "PA",
            "license": "AT000163L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Griffith Soergel Jr., M.D.
• Liza R Somers, MD
• Carrie Steele, CRNP
• William Steinberg, MD
• Elizabeth Strecker, PT
• Megan B Taylor, M.D.
• Lindsay Redican Tellefsen
• Anita Thomas, DO
• Richard Scott Thornton, MD
• John Patrick Tracey, PT

• Audiologist in Meadowbrook, PA
• Providers in Meadowbrook, PA by specialty
• Audiologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.