Active NPI
Emanuel Martinez, MD and Associates, PA
- Psychiatry Physician
- Orange Park, FL
National Provider Identifier
1124248992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME68758
- Legal business name
- EMANUEL MARTINEZ, MD AND ASSOCIATES, PA
- Practice address
- 1555 Kingsley Ave
Suite 101
Orange Park, FL 32073-4560 - Phone
- (904) 278-4999
- Fax
- (904) 278-8891
- NPI assigned
- Apr 26, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Emanuel Martinez, MD
- Title
- Owner President
- Phone
- (904) 940-2200
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH8366 | FL | |
| Clinical Social Worker | 1041C0700X | SW953 | FL | |
| Psychiatry Physician | 2084P0800X | ME68758 | FL | Primary |
| Family Nurse Practitioner | 363LF0000X | ARNP9181473 | FL | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | ARNP9181473 | FL | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | ARNP9222756 | FL | |
| Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0808X | ARNP9208000 | FL |
Addresses
Primary practice location
1555 Kingsley Ave
Suite 101
Orange Park, FL 32073-4560
Mailing address
315 W Town PL
Suite 3
St Augustine, FL 32092-3104
Phone (904) 940-2200
National Provider Directory
National Provider DirectoryLocations
1542 Kingsley Ave
Ste 145
Orange Park, FL 32073
Phone (904) 269-9773
280 Business Park Cir
Ste 408
St Augustine, FL 32095
Phone (904) 460-2405
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1449532800000",
"number": "1124248992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 W TOWN PL",
"address_2": "SUITE 3",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320923104",
"telephone_number": "904-940-2200",
"fax_number": "904-940-2201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1555 KINGSLEY AVE",
"address_2": "SUITE 101",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320734560",
"telephone_number": "904-278-4999",
"fax_number": "904-278-8891"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMANUEL MARTINEZ, MD AND ASSOCIATES, PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-26",
"last_updated": "2015-12-08",
"status": "A",
"authorized_official_last_name": "MARTINEZ",
"authorized_official_first_name": "EMANUEL",
"authorized_official_title_or_position": "OWNER PRESIDENT",
"authorized_official_telephone_number": "904-940-2200",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH8366",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW953",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME68758",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP9181473",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "ARNP9181473",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "ARNP9222756",
"primary": false
},
{
"code": "364SP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
"state": "FL",
"license": "ARNP9208000",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orange Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.