Samuel Martin

Primary specialty

Genetic Counselor (M.S.)Taxonomy code 170300000X

Practice address

18040 Via Bellamare LN
Miromar Lakes, FL 33913-7606

Phone

(646) 421-8499

NPI assigned

Jan 21, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1548028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1184198343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18040 VIA BELLAMARE LN",
            "city": "MIROMAR LAKES",
            "state": "FL",
            "postal_code": "339137606",
            "telephone_number": "646-421-8499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18040 VIA BELLAMARE LN",
            "city": "MIROMAR LAKES",
            "state": "FL",
            "postal_code": "339137606",
            "telephone_number": "646-421-8499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "SAMUEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-21",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Arthur Baumann, M.D.
• Susan Erdman Rosenberg, LCSW
• Cheryl Heidelberger, M.D.
• Tamara S Hossler
• Physicians Manpower Inc.
• Prevenza FL, LLC
• Daniel Marie Alice Saint-Louis

• Genetic Counselor (M.S.) in Miromar Lakes, FL
• Providers in Miromar Lakes, FL by specialty
• Genetic Counselor (M.S.) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; 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.