Individual provider Active NPI

Marta Didukh

  • Acupuncturist
  • Southampton, PA
National Provider Identifier
1538985106
Registry record updated Nov 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AK001472 Issued in PA
Practice address
1300 Industrial Blvd Ste 100a
Southampton, PA 18966-4029
Phone
(215) 909-0692
NPI assigned
Nov 28, 2024
Last updated
Nov 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AK001472 PA Primary

Addresses

Primary practice location

1300 Industrial Blvd Ste 100a
Southampton, PA 18966-4029

Mailing address

226 Susan Dr
Elkins Park, PA 19027-1833

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AK001472PAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Hampton Acupuncture & Herb Clinic LLC Acupuncturist CurrentSince Dec 1, 2024 Accepting new patients

Locations

1300 Industrial Blvd
Ste 100A
Southampton, PA 18966
Phone (215) 909-0692

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1732752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732752000000",
    "number": "1538985106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 SUSAN DR",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190271833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 INDUSTRIAL BLVD STE 100A",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189664029",
            "telephone_number": "215-909-0692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIDUKH",
        "first_name": "MARTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-28",
        "last_updated": "2024-11-28",
        "certification_date": "2024-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "PA",
            "license": "AK001472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southampton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2024; 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.