Active NPI
Michael G. Martin, M.D.
- Pediatrics Physician
- Rochester, NY
National Provider Identifier
1003877598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 146740
- Practice address
- 300 White Spruce Blvd
Rochester, NY 14623-1606 - Phone
- (585) 272-9460
- NPI assigned
- Apr 1, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 146740 | NY | Primary |
Addresses
Primary practice location
300 White Spruce Blvd
Rochester, NY 14623-1606
Mailing address
3 Gladbrook Rd
Pittsford, NY 14534-3503
Phone (585) 586-3184
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146740 | NY | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1003877598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 GLADBROOK RD",
"city": "PITTSFORD",
"state": "NY",
"postal_code": "145343503",
"telephone_number": "585-586-3184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 WHITE SPRUCE BLVD",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146231606",
"telephone_number": "585-272-9460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "MICHAEL",
"middle_name": "G.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-01",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "146740",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.