Jennifer Audrey Martin, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI02844600 Issued in NJ

Practice address

485 Amwell Rd
Hillsborough, NJ 08844-8213

Phone

(908) 359-2121

NPI assigned

Jun 16, 2021

Last updated

Oct 25, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1623801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1073181939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "443 S WOODS RD",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088443128",
            "telephone_number": "973-879-4893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 AMWELL RD",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088448213",
            "telephone_number": "908-359-2121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "443 S Woods Rd",
            "address_purpose": "LOCATION",
            "city": "Hillsborough",
            "state": "NJ",
            "postal_code": "088443128",
            "country_code": "US",
            "telephone_number": "973-879-4893",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JENNIFER",
        "middle_name": "AUDREY",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-16",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS043167",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02844600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phyllis P Marganoff, EDD
• Robert M Marino, DMD
• Liza M Marmo, APN
• Grace Marnell
• Rebecca Arlene Marsh, M.D.
• Diana Martinez
• Susan N Martinez, LCSW
• Daniel George Marulli, D.D.S.
• Matheny School and Hospital (Matheny Medical and Educational Center)
• Matheny School and Hospital (Hillsborough Day Program)

• General Practice Dentistry in Hillsborough, NJ
• Providers in Hillsborough, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.