Individual provider Active NPI

Martine Mariealice Louis, MD

  • Surgery Physician
  • Union, NJ
National Provider Identifier
1013162858
Registry record updated Nov 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
25MA08481100 Issued in NJ
Practice address
700 Rahway Ave
Union, NJ 07083-6634
Phone
(908) 688-8861
NPI assigned
Nov 20, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 25MA08481100 NJ Primary

Addresses

Primary practice location

700 Rahway Ave
Union, NJ 07083-6634

Mailing address

367 Emerson PL
Valley Stream, NY 11580-2832
Phone (516) 792-6609

Other names 1

  • Martine Mariealice Louis Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110111000804 NY Practitioner - General Surgery 4981893666 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TJH Medical Services PCGroup PAC ID 8527960533, 215 clinicians

Practice addresses (Care Compare)

11940 Metropolitan Ave
Kew Gardens, NY 11415-2600
Phone (718) 849-0839

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.41 of 100Reported as group
Quality
64.77
Promoting interoperability
79
Improvement activities
40
Cost
70.76

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
25MA08481100NJMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Flushing Hospital & Medical Center CurrentSince Sep 4, 2011 Accepting new patients
Flushing Hospital Medical Center CurrentSince Sep 4, 2011 Accepting new patients
TJH Medical Services, P.C. Surgery CurrentSince Sep 2, 2010 Accepting new patients
Flushing Hospital & Medical Center Past Accepting new patients
Lutheran Medical Center Past Accepting new patients
The Schulman and Schachne Institute for Nursing and Rehabilitation Inc. Past Accepting new patients

Locations

14601 45th Ave
Ste 315
Flushing, NY 11355
Phone (718) 670-5464

4500 Parsons Blvd
Flushing, NY 11355
Phone (718) 670-5631

14601 45th Ave
Flushing, NY 11355
Phone (718) 670-5562

4500 Parsons Blvd
Ste Acc
Flushing, NY 11355

14601 45th Ave
Ste 406
Flushing, NY 11355
Phone (718) 539-1261

11940 Metropolitan Ave
Kew Gardens, NY 11415
Phone (718) 849-0839

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1227139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227139200000",
    "number": "1013162858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "367 EMERSON PL",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115802832",
            "telephone_number": "516-792-6609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 RAHWAY AVE",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070836634",
            "telephone_number": "908-688-8861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUIS",
        "first_name": "MARTINE",
        "middle_name": "MARIEALICE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-20",
        "last_updated": "2008-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MA08481100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARTINE",
            "last_name": "LOUIS",
            "middle_name": "MARIEALICE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Union, NJ

Sources for this page

Verify at the official NPI Registry.