Individual provider Active NPI

Joan Katz Kipnis, MA

  • Audiologist
  • Chester, PA
National Provider Identifier
1659903417
Registry record updated Feb 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AT00317L Issued in PA
Practice address
2112 Providence Ave
Chester, PA 19013-5507
Phone
(610) 874-5366
NPI assigned
Feb 10, 2020
Last updated
Feb 10, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AT00317L PA Primary

Addresses

Primary practice location

2112 Providence Ave
Chester, PA 19013-5507

Mailing address

146 Mansfield Blvd N
Cherry Hill, NJ 08034-3607
Phone (856) 354-8755

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230811000290 PA Practitioner - Qualified Audiologist 2062874829 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
80.66 of 100Reported as group
Quality
71.67
Improvement activities
40
Cost
73.32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
AT00317LPAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Hearing Aid Center Audiologist CurrentSince Jun 18, 2023 Accepting new patients
Providence Ear Nose & Throat Associates Inc CurrentSince Jun 18, 2023 Accepting new patients

Locations

2112 Providence Ave
Chester, PA 19013
Phone (610) 600-1005

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, 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": "1581292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581292800000",
    "number": "1659903417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 MANSFIELD BLVD N",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080343607",
            "telephone_number": "856-354-8755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 PROVIDENCE AVE",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "190135507",
            "telephone_number": "610-874-5366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIPNIS",
        "first_name": "JOAN",
        "middle_name": "KATZ",
        "name_prefix": "Mrs.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-10",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "PA",
            "license": "AT00317L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.