Tiffany Annmarie Martinez, D.O.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

25MB09325500 Issued in NJ

Practice address

901 W Main St FL 2
Suite 240
Freehold, NJ 07728-2537

Phone

(732) 308-2255

Fax

(732) 394-6432

NPI assigned

May 21, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Tiffany Annmarie Terrelongue Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/5667/brand/1/csg/1/fhir/r4

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.

• OB GYN Boutique

  • Obstetrics & Gynecology Physician
  • Monroe Township, NJ
  • NPI 1760221683
  NPD Authorized official
• Prime Internal Medicine

  • Internal Medicine Physician
  • Freehold, NJ
  • NPI 1588912968
  NPD (past)

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

{
    "created_epoch": "1337558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374105600000",
    "number": "1205196573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CIVIC CENTER DR",
            "address_2": "APT 4",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088163567",
            "telephone_number": "732-841-0851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W MAIN ST FL 2",
            "address_2": "SUITE 240",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282537",
            "telephone_number": "732-308-2255",
            "fax_number": "732-394-6432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "TIFFANY",
        "middle_name": "ANNMARIE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-21",
        "last_updated": "2013-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MB09325500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "TERRELONGUE",
            "middle_name": "ANNMARIE",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Megan Maroney, PHARMD
• Georgia Marrero
• Dora Marshall, DC
• Robyn Martin
• Jaime Omar Martinez, MD
• Madison Lee Martino, PA-C
• Thomas Martino, PT, DPT
• Mary T Martucci, DO
• Samantha Jean Masetti
• Brian James Mason, PT, DPT

• Obstetrics & Gynecology Physician in Freehold, NJ
• Providers in Freehold, NJ by specialty
• Obstetrics & Gynecology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.