Robert Demartin, M.D.

Individual provider Active NPI Internal Medicine Physician · Sea Girt, NJ

NPI 1043260870 · NPPES record last updated Jan 15, 2024

Key facts

NPI
1043260870
Entity type
Individual (NPI type 1)
Primary specialty
Internal Medicine Physician 207R00000X
License
25MA04827500 (NJ)
Practice address
1330 Laurel Ave
Suite 201
Sea Girt, NJ 08750-2300
Phone
(732) 449-6681
NPI assigned
May 11, 2006
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA04827500NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CMG Medical Group I LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA04827500 NJ Yes

Addresses

Primary practice location

1330 Laurel Ave
Suite 201
Sea Girt, NJ 08750-2300

Mailing address

1330 Laurel Ave
Suite 201
Sea Girt, NJ 08750-2300
Phone (732) 449-6681

Other providers in Sea Girt, NJ

All providers in Sea Girt, NJ · Internal Medicine Physician in New Jersey

Sources for this page

Verify at the official NPI Registry.