Victor Martin, MD LLC

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

039467 Issued in CT

Legal business name

VICTOR MARTIN, MD LLC

Practice address

16 Dales Dr
Woodbridge, CT 06525-2014

Phone

(203) 675-6195

Fax

(203) 298-4795

NPI assigned

May 25, 2011

Organization subpart

No

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

Authorized official

Name

Victor Martin, MDNPI 1881705572

Title

Physician

Phone

(203) 675-6195

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Victor Martin, MD

  • Rheumatology Physician
  • New Haven, CT
  • NPI 1881705572
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1306281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357689600000",
    "number": "1083907919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 DALES DR",
            "city": "WOODBRIDGE",
            "state": "CT",
            "postal_code": "065252014",
            "telephone_number": "203-675-6195",
            "fax_number": "203-298-4795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 DALES DR",
            "city": "WOODBRIDGE",
            "state": "CT",
            "postal_code": "065252014",
            "telephone_number": "203-675-6195",
            "fax_number": "203-298-4795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTOR MARTIN, MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-25",
        "last_updated": "2013-01-09",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "203-675-6195",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CT",
            "license": "039467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rheumatology Physician in Woodbridge, CT
• Providers in Woodbridge, CT by specialty
• Rheumatology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2013; 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.