Active NPI
Todd Martin, M.D.
- Psychiatry Physician
- Sewell, NJ
National Provider Identifier
1033552856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD455454
- Practice address
- 211 County House Rd
Sewell, NJ 08080-2525 - Phone
- (215) 823-5800
- Fax
- (877) 823-5230
- NPI assigned
- Apr 10, 2013
- Last updated
- Oct 9, 2020
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD455454 | PA | Primary |
Addresses
Primary practice location
211 County House Rd
Sewell, NJ 08080-2525
Mailing address
833 Chestnut St
Suite 210
Philadelphia, PA 19107-4414
Phone (215) 955-9823
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD455454 | PA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602201600000",
"number": "1033552856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "833 CHESTNUT ST",
"address_2": "SUITE 210",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191074414",
"telephone_number": "215-955-9823",
"fax_number": "215-503-6116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 COUNTY HOUSE RD",
"city": "SEWELL",
"state": "NJ",
"postal_code": "080802525",
"telephone_number": "215-823-5800",
"fax_number": "877-823-5230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "TODD",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-10",
"last_updated": "2020-10-09",
"certification_date": "2020-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "MD455454",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sewell, NJ
- Mark J. Danner, DMD, LLC (George A. Barth, DMD, Mark J. Danner, DMD)
- Caitlin Marie Marr
- Susan Marie Mars, MPT
- Marsteller Health and Wellness LLC
- Matthew John Marsteller, DC
- Gina Marucci, CCC-SLP
- Laura Massanova, LCSW
- Desiree Massari, PHARMD
- Michael J Master, D.C., D.A.C.N.B.
- Jamie Nicole Matteo-Schienholtz, MS, CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.