Active NPI
Laura Martin
- Advanced Practice Midwife
- Plainfield, NJ
National Provider Identifier
1194736900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 25ME00003001
- Practice address
- 1700 Myrtle Ave
Plainfield, NJ 07063-1000 - Phone
- (908) 753-6401
- NPI assigned
- Aug 10, 2006
- Last updated
- Feb 20, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 25ME00003001 | NJ | Primary |
Addresses
Primary practice location
1700 Myrtle Ave
Plainfield, NJ 07063-1000
Mailing address
1700 Myrtle Ave
Plainfield, NJ 07063-1000
Phone (908) 753-6401
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25ME00003001 | Other | NJ | CNM W/PRESCRIPTIVE AUTHOR |
| 25ME00003000 | Other | NJ | CNM LICENSE |
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)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25ME00003001 | NJ | MD | Advanced Practice Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361318400000",
"number": "1194736900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 MYRTLE AVE",
"city": "PLAINFIELD",
"state": "NJ",
"postal_code": "070631000",
"telephone_number": "908-753-6401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 MYRTLE AVE",
"city": "PLAINFIELD",
"state": "NJ",
"postal_code": "070631000",
"telephone_number": "908-753-6401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "LAURA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-10",
"last_updated": "2013-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "NJ",
"license": "25ME00003001",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CNM W/PRESCRIPTIVE AUTHOR",
"identifier": "25ME00003001",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CNM LICENSE",
"identifier": "25ME00003000",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Plainfield, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.