Active NPI
Mary Margaret Rennick, AU.D.
- Audiologist
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- Practice address
- 8100 Roosevelt Blvd Ste 103
Philadelphia, PA 19152-2900 - Phone
- (215) 535-5598
- Fax
- (215) 331-4208
- NPI assigned
- Aug 12, 2022
- 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 | Primary |
Addresses
Primary practice location
8100 Roosevelt Blvd Ste 103
Philadelphia, PA 19152-2900
Mailing address
8100 Roosevelt Blvd Ste 103
Philadelphia, PA 19152-2900
Phone (215) 535-5598
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2501 Cottontail LN
Somerset, NJ 08873-5125
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Audiology Services Company USA, LLC | Current | Accepting new patients | |
| Audiology Services Company USA, LLC | Audiologist | Current | Accepting new patients |
| Audiology Services Company USA, LLC | Current | Accepting new patients |
Locations
138 Village Center Dr
Unit B4
Freehold, NJ 07728
Phone (732) 683-1140
775 Route 70 E
Ste F120B
Marlton, NJ 08053
Phone (856) 797-1414
2501 Cottontail Ln
Somerset, NJ 08873
Phone (732) 529-7120
8100 Roosevelt Blvd
Ste 103
Philadelphia, PA 19152
Phone (215) 535-1314
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.
-
- Hearing and Speech Clinic/Center
- Somerset, NJ
- NPI 1033585302
Audiologist
-
- Hearing and Speech Clinic/Center
- Sea Girt, NJ
- NPI 1467964825
-
- Hearing and Speech Clinic/Center
- Melbourne, FL
- NPI 1902318108
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660262400000",
"number": "1841928231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8100 ROOSEVELT BLVD STE 103",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191522900",
"telephone_number": "215-535-5598",
"fax_number": "215-331-4208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8100 ROOSEVELT BLVD STE 103",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191522900",
"telephone_number": "215-535-5598",
"fax_number": "215-331-4208"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENNICK",
"first_name": "MARY",
"middle_name": "MARGARET",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-12",
"last_updated": "2022-08-12",
"certification_date": "2022-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": null,
"license": null,
"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 Aug 12, 2022; 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.