Active NPI
Martia Good, MA-CCC-A
- Audiologist
- Philadelphia, PA
National Provider Identifier
1881831824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AT005861
- Practice address
- 1843 S Broad St
Philadelphia, PA 19148-2115 - Phone
- (215) 629-1353
- Fax
- (866) 521-0299
- NPI assigned
- Jan 13, 2009
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | O2-0000101 | DE | |
| Audiologist | 231H00000X | AT005861 | PA | Primary |
| Audiologist | 231H00000X | 41YA00072400 | NJ |
Addresses
Primary practice location
1843 S Broad St
Philadelphia, PA 19148-2115
Mailing address
1843 S Broad St
Philadelphia, PA 19148-2115
Phone (215) 629-1353
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| O2-0000101 | DE | MD | Audiologist |
| 41YA00072400 | NJ | MD | Audiologist |
| AT005861 | PA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associates in Audiology of Chester County | Audiologist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Audiologist
- Exton, PA
- NPI 1730425000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401753600000",
"number": "1881831824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1843 S BROAD ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191482115",
"telephone_number": "215-629-1353",
"fax_number": "866-521-0299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1843 S BROAD ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191482115",
"telephone_number": "215-629-1353",
"fax_number": "866-521-0299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOOD",
"first_name": "MARTIA",
"credential": "MA-CCC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-13",
"last_updated": "2014-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "DE",
"license": "O2-0000101",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "PA",
"license": "AT005861",
"primary": true
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NJ",
"license": "41YA00072400",
"primary": false
}
],
"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 Jun 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.