Individual provider Active NPI

Charles Edwin Martin Jr., MD

  • Vascular & Interventional Radiology Physician
  • Sellersville, PA
National Provider Identifier
1477553410
Registry record updated Jan 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
MD065165L Issued in PA
Practice address
700 Lawn Ave
Sellersville, PA 18960-1548
Phone
(215) 257-5578
Fax
(215) 257-1350
NPI assigned
Jul 29, 2005
Sex
Male
Sole proprietor
No

Organizations & group practices 3

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Progressive Physician Assoc Inc 164 clinicians

Practice addresses (Care Compare)

100 St Lukes LN
Stroudsburg, PA 18360-6217
Phone (484) 526-4000

1021 Park Ave
Quakertown, PA 18951-0130
Phone (610) 868-1100

1736 Hamilton St
Allentown, PA 18104-5656
Phone (610) 868-1100

185 Roseberry St
Phillipsburg, NJ 08865-1690
Phone (908) 859-6700

1872 St Lukes Blvd
Easton, PA 18045-5669
Phone (610) 868-1100

211 N 12 St
Lehighton, PA 18235-1138
Phone (610) 377-7061

250 S 21St St
Easton, PA 18042-3851
Phone (800) 475-6112

3 Parkinsons Rd
East Stroudsburg, PA 18301-8087
Phone (610) 868-8110

360 W Riddle St
Coaldale, PA 18218-1027
Phone (610) 868-1100

421 Chew St
Allentown, PA 18102-3406
Phone (610) 776-4500

521 Cetronia Rd
Allentown, PA 18104-9569
Phone (484) 658-6000

700 Lawn Ave
Sellersville, PA 18960-1548
Phone (215) 453-4000

801 Ostrm St
Bethlehem, PA 18015-1000
Phone (610) 868-1100

Hospital & facility affiliations

  • St Luke'S Hospital - Grand View Campus Hospital, Sellersville, PA, CCN 390057
  • St Luke'S Hospital - Upper Bucks Campus Hospital, Quakertown, PA, CCN 390035
  • St Lukes Hospital Hospital, Bethlehem, PA, CCN 390049
  • St Luke'S Hospital - Monroe Campus Hospital, Stroudsburg, PA, CCN 390330
  • St Luke'S Hospital - Carbon Campus Hospital, Lehighton, PA, CCN 390335
  • Grand View Hospital Inpatient rehabilitation facility, Sellersville, PA, CCN 39T057

Merit-based Incentive Payment System (MIPS)

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050922000853 PA Practitioner - Diagnostic Radiology 6002840675 Reassigns benefits to 2 organizations
I20260305001951 NJ Practitioner - Interventional Radiology 6002840675 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD065165LPAMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Physician Assoc Inc Vascular & Interventional Radiology CurrentSince Jun 25, 2025 Accepting new patients
Grandview Radiology Associates CurrentSince Apr 7, 1998 Accepting new patients
Cedar Crest Imaging Past Accepting new patients

Locations

185 Roseberry St
Phillipsburg, NJ 08865
Phone (908) 213-6611

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

700 Lawn Ave
Sellersville, PA 18960
Phone (215) 453-4000

711 Lawn Ave
Ste 2
Sellersville, PA 18960
Phone (215) 257-1050

711 Lawn Ave
Ste 1
Sellersville, PA 18960
Phone (215) 257-9370

Interoperability endpoints

  • Direct secure messaging: cmartin348935@direct-sluhn.org

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X MD065165L PA Primary

Addresses

NPPES NPI Registry

Primary practice location

700 Lawn Ave
Sellersville, PA 18960-1548

Mailing address

711 Lawn Ave Ste 2
Sellersville, PA 18960-1575
Phone (215) 257-5578

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
01833378MedicaidPA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 14, 2020.

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578960000000",
    "number": "1477553410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 LAWN AVE STE 2",
            "city": "SELLERSVILLE",
            "state": "PA",
            "postal_code": "189601575",
            "telephone_number": "215-257-5578",
            "fax_number": "215-257-1350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 LAWN AVE",
            "city": "SELLERSVILLE",
            "state": "PA",
            "postal_code": "189601548",
            "telephone_number": "215-257-5578",
            "fax_number": "215-257-1350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "CHARLES",
        "middle_name": "EDWIN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "PA",
            "license": "MD065165L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01833378",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sellersville, PA

Sources for this page

Verify at the official NPI Registry.