NPIMap

Individual provider Active NPI

Elizabeth M Martinez, PA

  • Physician Assistant
  • Bronx, NY
National Provider Identifier
1164562047
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
009422 Issued in NY
Practice address
MMC - Dept. of Medicine
1825 Eastchester Road
Bronx, NY 10461
Phone
(718) 904-2400
NPI assigned
Feb 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 009422 NY Primary

Addresses

Primary practice location

MMC - Dept. of Medicine
1825 Eastchester Road
Bronx, NY 10461

Mailing address

528 W 145TH St
Apt. 2C
New York, NY 10031-5427
Phone (718) 904-2400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230606002556 NY Practitioner - Physician Assistant 9234317009 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Suffolk Primary Health LLCGroup PAC ID 9436420510, 46 clinicians

Practice addresses (Care Compare)

170 Old Country Rd
Riverhead, NY 11901-2198
Phone (631) 208-4460

Hospital & facility affiliations

  • Americare Certified Special Services, Inc Chha Home health agency, Brooklyn, NY, CCN 337290
  • Extended Home Care Home health agency, Brooklyn, NY, CCN 337414
  • Revival Home Health Care Home health agency, Staten Island, NY, CCN 337299
  • Girling Health Care of New York Home health agency, Brooklyn, NY, CCN 337243
  • Cassena Care at Home Home health agency, Brooklyn, NY, CCN 337441

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Flushing Hospital Medical Center CurrentSince Jun 1, 2023 Accepting new patients
Suffolk Primary Health, LLC CurrentSince Jan 1, 2026 Accepting new patients
Jamaica Hospital CurrentSince Feb 1, 2024 Accepting new patients
Essen Medical Associates, PC CurrentSince Oct 5, 2024 Accepting new patients
Montefiore Medical Center CurrentSince Apr 30, 2023 Accepting new patients
Jamaica Hospital CurrentSince Feb 1, 2024 Accepting new patients
Essen Medical Associates, PC CurrentSince Oct 5, 2024 Accepting new patients
Montefiore Medical Center CurrentSince Apr 30, 2023 Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

1825 Eastchester Rd
Bronx, NY 10461
Phone (718) 904-2000

5308 13th Ave
Ste 334
Brooklyn, NY 11219

14601 45th Ave
Flushing, NY 11355
Phone (718) 670-5562

8989 Union Tpke
Glendale, NY 11385
Phone (718) 480-6207

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

170 Old Country Rd
Riverhead, NY 11901
Phone (631) 208-4460

785 Mamaroneck Ave
White Plains, NY 10605
Phone (914) 597-2257

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: emartinez3552167@nychhc.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IFCJCD

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164562047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 W 145TH ST",
            "address_2": "APT. 2C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100315427",
            "telephone_number": "718-904-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MMC - DEPT. OF MEDICINE",
            "address_2": "1825 EASTCHESTER ROAD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10461",
            "telephone_number": "718-904-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "ELIZABETH",
        "middle_name": "M",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "009422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.