Individual provider Active NPI

Samantha Rose Charlton, AUD

  • Audiologist
  • Philadelphia, PA
National Provider Identifier
1336983089
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Practice address
3900 Woodland Ave
Philadelphia, PA 19104-4551
Phone
(215) 823-5800
NPI assigned
Jun 19, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X Primary

Addresses

Primary practice location

3900 Woodland Ave
Philadelphia, PA 19104-4551

Mailing address

3900 Woodland Ave
Philadelphia, PA 19104-4551
Phone (158) 235-8002

Other practice location 1

205 N Broad St Ste 401
Philadelphia, PA 19107-1553
Phone (215) 762-4600

Other practice location 2

5501 Old York Rd Bldg 2nd
Philadelphia, PA 19141-3018
Phone (215) 456-7140

Other practice location 3

210 Mall Blvd Ste 202
King Of Prussia, PA 19406-3260
Phone (846) 819-0094

Other practice location 4

8350 Roosevelt Blvd
Philadelphia, PA 19152-2531
Phone (215) 331-6878

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250814005022 PA Practitioner - Qualified Audiologist 8527595701 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Otolaryngology Associates PCGroup PAC ID 0941299895, 9 clinicians

Practice addresses (Care Compare)

5501 Old York Rd
Phila, PA 19141-3018
Phone (215) 456-7140

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Excelhealth Group LLC Audiologist CurrentSince Sep 16, 2025 Accepting new patients

Locations

3430 Huntingdon Pike
Huntingdon Vy, PA 19006
Phone (215) 938-7171

100 Abbeyville Rd
Lancaster, PA 17603
Phone (717) 397-4261

605 River Rock Blvd
Murfreesboro, TN 37128

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": "1718755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1336983089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 WOODLAND AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044551",
            "telephone_number": "158-235-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 WOODLAND AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044551",
            "telephone_number": "215-823-5800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 N Broad St Ste 401",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191071553",
            "country_code": "US",
            "telephone_number": "215-762-4600",
            "fax_number": "215-988-0733",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5501 Old York Rd Bldg 2nd",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191413018",
            "country_code": "US",
            "telephone_number": "215-456-7140",
            "fax_number": "215-456-6671",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "210 Mall Blvd Ste 202",
            "address_purpose": "LOCATION",
            "city": "King Of Prussia",
            "state": "PA",
            "postal_code": "194063260",
            "country_code": "US",
            "telephone_number": "846-819-0094",
            "fax_number": "215-988-0733",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8350 Roosevelt Blvd",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191522531",
            "country_code": "US",
            "telephone_number": "215-331-6878",
            "fax_number": "215-331-4152",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHARLTON",
        "first_name": "SAMANTHA",
        "middle_name": "ROSE",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-19",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.