Active NPI
Charles Edwin Martin Jr., MD
- Vascular & Interventional Radiology Physician
- Sellersville, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- MD065165L
- 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.
-
- Diagnostic Radiology Physician
- Bethlehem, PA
- NPI 1881646859
NJ, PA, Vascular & Interventional Radiology
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Allentown, PA
- NPI 1447283916
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Adult Mental Health Clinic/Center
- Lehighton, PA
- NPI 1962094920
Hospital
-
- General Acute Care Hospital
- Sellersville, PA
- NPI 1568459287
Hospital
-
- Rehabilitation Hospital Unit
- Sellersville, PA
- NPI 1760587182
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Stroudsburg, PA
- NPI 1396194197
Hospital
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
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
- St Luke'S Hospital - Upper Bucks Campus
- St Lukes Hospital
- St Luke'S Hospital - Monroe Campus
- St Luke'S Hospital - Carbon Campus
- Grand View Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| MD065165L | PA | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Progressive Physician Assoc Inc | Vascular & Interventional Radiology | Current | Accepting new patients |
| Grandview Radiology Associates | Current | 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
- cmartin348935@direct-sluhn.org
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | MD065165L | PA | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01833378 | Medicaid | PA |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.