Individual provider Active NPI

Kathryn Martinez, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Middlesex, NJ
National Provider Identifier
1104302827
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ00871900 Issued in NJ
Practice address
127 Union Ave Ste 2E
Middlesex, NJ 08846-1039
Phone
(908) 339-2147
Fax
(908) 760-4703
NPI assigned
Jul 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN654742 PA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ00871900 NJ Primary

Addresses

Primary practice location

127 Union Ave Ste 2E
Middlesex, NJ 08846-1039

Mailing address

127 Union Ave # 2E
Middlesex, NJ 08846-1039
Phone (908) 339-2147

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190328002672 PA Practitioner - Nurse Practitioner 7113267147 Reassigns benefits to 1 organization
I20251022003610 NJ Practitioner - Nurse Practitioner 7113267147 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HMH Carrier Behavioral Health IncGroup PAC ID 9234043464, 41 clinicians
Practice Associates Medical GroupGroup PAC ID 5890703177, 1,412 clinicians

Practice addresses (Care Compare)

252 Route 601
Belle Mead, NJ 08502-3923
Phone (908) 281-1000

99 Beauvoir Ave
Summit, NJ 07902-3533
Phone (908) 522-2000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN654742PAMDNurse Practitioner
26NJ00871900NJMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Practice Associates Medical Group CurrentSince Dec 2, 2020 Accepting new patients
St Luke'S Physician Group Inc CurrentSince Feb 10, 2019 Accepting new patients
Kathryn H Martinez PMH-NP Mba LLC Psychiatric/Mental Health CurrentSince Nov 9, 2021 Accepting new patients
HMH Carrier Behavioral Health Inc CurrentSince Mar 30, 2019 Accepting new patients
HMH Carrier Behavioral Health Inc CurrentSince Mar 30, 2019 Accepting new patients
St. Luke'S Physician Group, Inc. CurrentSince Feb 10, 2019 Accepting new patients
St. Luke'S Physician Group, Inc. Current Accepting new patients
Catholic Charities Diocese of Metuchen CurrentSince Jan 30, 2024 Accepting new patients
Catholic Charities, Diocese of Metuchen CurrentSince Jan 30, 2024 Accepting new patients
True Health Chiropractic and Wellness Center, PC Past Accepting new patients

Locations

252 Route 601
Belle Mead, NJ 08502
Phone (800) 379-1949

540 US Highway 22
Bridgewater, NJ 08807
Phone (908) 333-2297

6 Park Ave
Flemington, NJ 08822
Phone (908) 782-7905

127 Union Ave
Ste 2E
Middlesex, NJ 08846
Phone (908) 339-2147

127 Union Ave
Ste 4
Middlesex, NJ 08846
Phone (732) 595-7689

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

319 Maple St
Perth Amboy, NJ 08861
Phone (732) 324-8200

402 Coventry Dr
Phillipsburg, NJ 08865
Phone (908) 339-2147

99 Beauvoir Ave
Summit, NJ 07901
Phone (908) 522-2232

1107 Eaton Ave
Bethlehem, PA 18018
Phone (610) 954-3012

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1531699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1104302827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 UNION AVE # 2E",
            "city": "MIDDLESEX",
            "state": "NJ",
            "postal_code": "088461039",
            "telephone_number": "908-339-2147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 UNION AVE STE 2E",
            "city": "MIDDLESEX",
            "state": "NJ",
            "postal_code": "088461039",
            "telephone_number": "908-339-2147",
            "fax_number": "908-760-4703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "KATHRYN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-16",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "RN654742",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00871900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middlesex, NJ

Sources for this page

Verify at the official NPI Registry.