Individual provider Active NPI

Corinne D Martin, CNM, NP

  • Advanced Practice Midwife
  • Rochester, NY
National Provider Identifier
1104908391
Registry record updated Nov 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
F001156 Issued in NY
Practice address
1555 Long Pond Rd
Dept. of Obstetrics and Gynecology
Rochester, NY 14626-4122
Phone
(585) 368-4007
Fax
(585) 368-4009
NPI assigned
Oct 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X F360478 NY
Advanced Practice Midwife 367A00000X F001156 NY Primary

Addresses

Primary practice location

1555 Long Pond Rd
Dept. of Obstetrics and Gynecology
Rochester, NY 14626-4122

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504
Phone (585) 922-0553

Other practice location 1

1415 Portland Ave Ste 400
Rochester, NY 14621-3022
Phone (585) 922-4200

Other practice location 2

222 Alexander St Ste 1100
Rochester, NY 14607-4005
Phone (585) 922-8585

Other practice location 3

309 Upper Falls Blvd
Rochester, NY 14605-2105
Phone (585) 922-0260

Other practice location 4

2 Coulter Rd Ste 2660
Clifton Springs, NY 14432-1122
Phone (315) 462-1125

Other identifiers 1

IdentifierTypeStateIssuer
02648433MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070420000083 NY Practitioner - Certified Nurse Midwife (CNM) 9234234253 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
State University of New York at Stony Brook, School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Unity Hospital of RochesterGroup PAC ID 9436060969, 732 clinicians

Practice addresses (Care Compare)

158 Orchard St
Rochester, NY 14611-1361
Phone (585) 368-4500

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
001156NYMDPsychoanalyst
F360478NYMDObstetrics & Gynecology Nurse Practitioner
F001156NYMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Western New York Medical Practice P.C. CurrentSince Jan 23, 2018 Accepting new patients
The Unity Hospital of Rochester CurrentSince Apr 15, 2009 Accepting new patients
Rochester General Hospital CurrentSince Jan 23, 2018 Accepting new patients
Rochester General Hospital CurrentSince Jan 23, 2018 Accepting new patients
The Unity Hospital of Rochester Current Accepting new patients
Clifton Springs Sanitarium Company Past Accepting new patients
Rochester General Hospital Past Accepting new patients

Locations

2 Coulter Rd
Ste 2660
Clifton Springs, NY 14432
Phone (315) 210-6280

1415 Portland Ave
Ste 267
Rochester, NY 14621

309 Upper Falls Blvd
Rochester, NY 14605
Phone (585) 922-0260

1000 South Ave
#116
Rochester, NY 14620
Phone (585) 341-6734

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

1415 Portland Ave
Ste 400
Rochester, NY 14621
Phone (585) 922-4200

1555 Long Pond Rd
Rochester, NY 14626
Phone (585) 429-2289

222 Alexander St
Ste 1100
Rochester, NY 14607
Phone (585) 922-8585

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

Organizations & group practices 7

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": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574121600000",
    "number": "1104908391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KINGS HWY S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146175504",
            "telephone_number": "585-922-0553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 LONG POND RD",
            "address_2": "DEPT. OF OBSTETRICS AND GYNECOLOGY",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146264122",
            "telephone_number": "585-368-4007",
            "fax_number": "585-368-4009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1415 Portland Ave Ste 400",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146213022",
            "country_code": "US",
            "telephone_number": "585-922-4200",
            "fax_number": "585-922-4922",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "222 Alexander St Ste 1100",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146074005",
            "country_code": "US",
            "telephone_number": "585-922-8585",
            "fax_number": "585-922-8555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "309 Upper Falls Blvd",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146052105",
            "country_code": "US",
            "telephone_number": "585-922-0260",
            "fax_number": "585-922-0240",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Coulter Rd Ste 2660",
            "address_purpose": "LOCATION",
            "city": "Clifton Springs",
            "state": "NY",
            "postal_code": "144321122",
            "country_code": "US",
            "telephone_number": "315-462-1125",
            "fax_number": "315-462-1494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "CORINNE",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "CNM, NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2019-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "NY",
            "license": "F360478",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NY",
            "license": "F001156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02648433",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.