Paul Martins

Primary specialty

Ambulatory Care Registered NurseTaxonomy code 163WP2201X

License

R5204 Issued in MD

Practice address

610 Tinker Rd
Middle River, MD 21220-3799

Phone

(443) 722-9039

NPI assigned

Oct 3, 2022

Sex

Male

Sole proprietor

No

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

Practice roles

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.

• Plus Essentials Healthcare Services Corp

  • Nursing Care Agency
  • Middle River, MD
  • NPI 1396522629
  NPD Authorized official

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1104540210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 TINKER RD",
            "city": "MIDDLE RIVER",
            "state": "MD",
            "postal_code": "212203799",
            "telephone_number": "443-722-9039",
            "fax_number": "410-238-7236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 TINKER RD",
            "city": "MIDDLE RIVER",
            "state": "MD",
            "postal_code": "212203799",
            "telephone_number": "443-722-9039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINS",
        "first_name": "PAUL",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-03",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "MD",
            "license": "R5204",
            "primary": false
        },
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "MD",
            "license": "R5204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Malik Home Care LLC
• Manifest Wellness Services LLC
• Kelly Melissa Marciniak
• Charles B Marek Jr., MD
• Tiffany Elizabeth Mark
• Maryland CVS Pharmacy LLC
• Maggie Matassa
• Shamia Keona McCallum
• Matthew David McCarty-Gibson
• Jemiera Marie McClary

• Ambulatory Care Registered Nurse in Middle River, MD
• Providers in Middle River, MD by specialty
• Ambulatory Care Registered Nurse in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.