Active NPI
Amy K Wadas, AU.D.
- Audiologist
- Philadelphia, PA
National Provider Identifier
1790898385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AT005982
- Practice address
- 3900 Woodland Ave # 126
Philadelphia, PA 19104-4551 - Phone
- (215) 823-4363
- Fax
- (215) 823-4585
- NPI assigned
- Aug 16, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AT005982 | PA | Primary |
Addresses
Primary practice location
3900 Woodland Ave # 126
Philadelphia, PA 19104-4551
Mailing address
320 Glen Echo Rd
Philadelphia, PA 19119-2560
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
| License | State | Type | Specialty |
|---|---|---|---|
| AT005982 | PA | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594771200000",
"number": "1790898385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 GLEN ECHO RD",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191192560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3900 WOODLAND AVE # 126",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191044551",
"telephone_number": "215-823-4363",
"fax_number": "215-823-4585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WADAS",
"first_name": "AMY",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-16",
"last_updated": "2020-07-15",
"certification_date": "2020-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "PA",
"license": "AT005982",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.