Healthcare Provider Details

I. General information

NPI: 1679634901
Provider Name (Legal Business Name): MARGARET QUINN MARIOTTI AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/12/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 W OLIVE ST #106
SCRANTON PA
18508-2572
US

IV. Provider business mailing address

3 W OLIVE ST #106
SCRANTON PA
18508-2572
US

V. Phone/Fax

Practice location:
  • Phone: 570-344-0744
  • Fax: 570-344-6265
Mailing address:
  • Phone: 570-344-0744
  • Fax: 570-344-6265

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAT000282L
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License NumberAT000282L
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberAT000282L
License Number StatePA
# 4
Primary TaxonomyN
Taxonomy Code231HA2400X
TaxonomyAssistive Technology Practitioner Audiologist
License NumberAT000282L
License Number StatePA
# 5
Primary TaxonomyY
Taxonomy Code231HA2500X
TaxonomyAssistive Technology Supplier Audiologist
License NumberAT000282L
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: