Martingale Labs, Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MARTINGALE LABS, INC.

Practice address

494 4TH Ave # 3
Brooklyn, NY 11215-3914

Phone

(919) 600-0077

NPI assigned

Sep 8, 2022

Organization subpart

No

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

Authorized official

Name

Tejal Patwardhan

Title

Ceo

Phone

(919) 600-0077

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1662595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662681600000",
    "number": "1215658018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 ZAPATA LN",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275177743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "494 4TH AVE # 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112153914",
            "telephone_number": "919-600-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTINGALE LABS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-08",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A",
        "authorized_official_last_name": "PATWARDHAN",
        "authorized_official_first_name": "TEJAL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-600-0077"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Martinez
• Vivian Martinez, LPN
• Wanda I Martinez, NP
• Wilda Martinez, LCSW-R
• Yesenia Martinez
• Francis X. Martingano, M.D.
• Christina Danielle Martini, LMSW
• Amanda G Martino
• Anthony Martino, PHARMD
• Francesca Martino

• Clinic/Center in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; 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.