Individual provider Active NPI

Joseph Motzko, AU.D.

  • Audiologist
  • Kingston, PA
National Provider Identifier
1356799274
Registry record updated Jun 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AT006431 Issued in PA
Practice address
601 Wyoming Ave
Kingston, PA 18704-3701
Phone
(570) 287-8649
Fax
(570) 284-9560
NPI assigned
Jun 1, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AT006431 PA Primary

Addresses

Primary practice location

601 Wyoming Ave
Kingston, PA 18704-3701

Mailing address

601 Wyoming Ave
Kingston, PA 18704-3701
Phone (570) 287-8649

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180724001178 PA Practitioner - Qualified Audiologist 1557618436 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology Services Company USA, LLC Audiologist CurrentSince Jun 1, 2023 Accepting new patients
Audiology Services Company USA, LLC CurrentSince Jun 1, 2023 Accepting new patients

Locations

2501 Cottontail Ln
Somerset, NJ 08873
Phone (732) 529-7120

1022 N Main Street Ext
Butler, PA 16001
Phone (724) 282-8491

2591 Route 6
Ste 101
Hawley, PA 18428
Phone (272) 336-0560

601 Wyoming Ave
Kingston, PA 18704
Phone (570) 287-8649

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": "1464739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464739200000",
    "number": "1356799274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 WYOMING AVE",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187043701",
            "telephone_number": "570-287-8649",
            "fax_number": "570-284-9560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 WYOMING AVE",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187043701",
            "telephone_number": "570-287-8649",
            "fax_number": "570-284-9560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTZKO",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-01",
        "last_updated": "2016-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "PA",
            "license": "AT006431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.