Active NPI
Kenneth Martone
- Registered Nurse
- Riverhead, NY
National Provider Identifier
1184155376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 376106-1
- Practice address
- 300 Center Dr
Riverhead, NY 11901-3393 - Phone
- (631) 852-2680
- NPI assigned
- Mar 21, 2017
- Last updated
- Mar 21, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 376106-1 | NY | Primary |
Addresses
Primary practice location
300 Center Dr
Riverhead, NY 11901-3393
Mailing address
300 Center Dr
Riverhead, NY 11901-3393
Phone (631) 852-2680
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 376106-1 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490054400000",
"number": "1184155376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 CENTER DR",
"city": "RIVERHEAD",
"state": "NY",
"postal_code": "119013393",
"telephone_number": "631-852-2680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 CENTER DR",
"city": "RIVERHEAD",
"state": "NY",
"postal_code": "119013393",
"telephone_number": "631-852-2680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTONE",
"first_name": "KENNETH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-03-21",
"last_updated": "2017-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "376106-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverhead, NY
- Nancy Szendy Mark, D.C.
- Nicole Marie Marky, NP
- Martin Drugs of Riverhead,Inc
- Martin Drugs of Riverhead,Inc
- Mary Kathleen Martin, ANP
- Mary Kathleen Martin Nurse Practitioner in Psychiatry, PLLC
- Maryhaven Center of Hope
- Maryhaven Center of Hope Inc.
- Christine Hannema Masefield, PT
- Joseph Masefield, PT DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.