New Providence Family Practice Corporation

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MA04919800 Issued in NJ

Legal business name

NEW PROVIDENCE FAMILY PRACTICE CORPORATION

Practice address

139 South St
Suite 201
New Providence, NJ 07974-1999

Phone

(908) 771-9311

Fax

(908) 771-9302

NPI assigned

May 9, 2012

Last updated

May 9, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lorenzo Giovanni Martinetti, M.D.NPI 1588722318

Title

President

Phone

(908) 771-9311

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lorenzo Giovanni Martinetti, M.D.

  • Family Medicine Physician
  • New Providence, NJ
  • NPI 1588722318
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1336521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336521600000",
    "number": "1053670216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 SOUTH ST",
            "address_2": "SUITE 201",
            "city": "NEW PROVIDENCE",
            "state": "NJ",
            "postal_code": "079741999",
            "telephone_number": "908-771-9311",
            "fax_number": "908-771-9302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 SOUTH ST",
            "address_2": "SUITE 201",
            "city": "NEW PROVIDENCE",
            "state": "NJ",
            "postal_code": "079741999",
            "telephone_number": "908-771-9311",
            "fax_number": "908-771-9302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW PROVIDENCE FAMILY PRACTICE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-09",
        "last_updated": "2012-05-09",
        "status": "A",
        "authorized_official_last_name": "MARTINETTI",
        "authorized_official_first_name": "LORENZO",
        "authorized_official_middle_name": "GIOVANNI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-771-9311",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA04919800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Mushington, LPC
• Lea Grace Nead, MS, OTR/L, CBIS
• New Jersey CVS Pharmacy LLC (CVS Pharmacy 00125)
• New Jersey Organ & Tissue Sharing Network (NJ Sharing Network)
• New Providence Dentistry LLC
• New Providence Internal Medicine Associates
• New Providence Orthodontics LLC (Terrana Orthodontics)
• Bonnie Anne Nezlick
• Karolina Nicewicz, PSY.D.
• Jezabel Mariela Novo-Frias, APN

• Family Medicine Physician in New Providence, NJ
• Providers in New Providence, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.