Robert D Martin, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

095508 Issued in NY

Practice address

40 Stoner Ave
Great Neck, NY 11021-2118

Phone

(516) 402-6424

Fax

(516) 482-6422

NPI assigned

Jan 11, 2007

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)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• North Shore-Lij Medical PC

  • Urology Physician
  • Great Neck, NY
  • NPI 1053688572
  NPD (past)

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436400000000",
    "number": "1194875484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 BUCKINGHAM PL",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110214533",
            "telephone_number": "516-482-6424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 STONER AVE",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110212118",
            "telephone_number": "516-402-6424",
            "fax_number": "516-482-6422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "ROBERT",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2015-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "095508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judy Marshel, RD, CDN
• Martin H Handler MD P.C.
• Alexander Martin, MD
• Elissa Michelle Martin, ANP
• Jeanine Martin, L.AC
• Ashley Martinez
• Elmer Martinez
• Nichol Stephen Martinez, M.D.
• Carlos Anibal Martins, OTRIL CHT
• Tiffany Martos

• Psychiatry Physician in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.

Verify at the official NPI Registry.