Individual provider Active NPI

Jessica L Atkins, AU.D.

  • Audiologist
  • Philadelphia, PA
National Provider Identifier
1912321118
Registry record updated Feb 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AT006329 Issued in PA
Practice address
8100 Roosevelt Blvd
Suite 202
Philadelphia, PA 19152-2900
Phone
(215) 535-5598
Fax
(215) 331-4208
NPI assigned
Feb 7, 2014
Last updated
Feb 3, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AT006329 PA Primary

Addresses

Primary practice location

8100 Roosevelt Blvd
Suite 202
Philadelphia, PA 19152-2900

Mailing address

8100 Roosevelt Blvd
Suite 202
Philadelphia, PA 19152-2900
Phone (215) 535-5598

Other names 1

  • Jessica L Maher Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140811001626 PA Practitioner - Qualified Audiologist 3577780899 Reassigns benefits to 1 organization
I20221102001931 NJ Practitioner - Qualified Audiologist 3577780899 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology Services Company USA, LLC Audiologist CurrentSince Apr 1, 2018 Accepting new patients
Audiology Services Company USA, LLC CurrentSince Apr 1, 2018 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) 564-7115

1000 White Horse Rd
Ste 510
Voorhees, NJ 08043
Phone (856) 627-4400

1022 N Main Street Ext
Butler, PA 16001
Phone (724) 282-8491

8100 Roosevelt Blvd
Ste 103
Philadelphia, PA 19152
Phone (215) 535-1314

8100 Roosevelt Blvd
Ste 202
Philadelphia, PA 19152
Phone (215) 535-5598

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": "1391731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454457600000",
    "number": "1912321118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 ROOSEVELT BLVD",
            "address_2": "SUITE 202",
            "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",
            "address_2": "SUITE 202",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191522900",
            "telephone_number": "215-535-5598",
            "fax_number": "215-331-4208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATKINS",
        "first_name": "JESSICA",
        "middle_name": "L",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-07",
        "last_updated": "2016-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "PA",
            "license": "AT006329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "MAHER",
            "middle_name": "L",
            "credential": "AU.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Feb 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.