Loren Martinez, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

6506 Roosevelt Ave
Woodside, NY 11377-2928

Phone

(718) 639-3603

Fax

(718) 639-3605

NPI assigned

Apr 28, 2017

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Lamd Medical Group and Multispecialty Corp

  • Multi-Specialty Clinic/Center
  • Woodside, NY
  • NPI 1992160758
  NPD Authorized official
• Lamd Medical Group Multispeciality

  • Ambulatory Family Planning Facility
  • Jackson Heights, NY
  • NPI 1720453616
  NPD

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

{
    "created_epoch": "1493337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1225563166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 66TH ST",
            "city": "MASPETH",
            "state": "NY",
            "postal_code": "113781734",
            "telephone_number": "718-639-3603",
            "fax_number": "718-639-3605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6506 ROOSEVELT AVE",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113772928",
            "telephone_number": "718-639-3603",
            "fax_number": "718-639-3605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "LOREN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-28",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ECLINICALWORKS",
            "affiliation": "N",
            "endpointDescription": "SOFTWARE",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "6506 Roosevelt Ave",
            "city": "Woodside",
            "state": "NY",
            "country_code": "US",
            "postal_code": "113772928",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kristy Marra
• Zuriel Martinez Avila
• Cendi Martinez
• Jessica Martinez
• Jolahiny Martinez
• Peter Marusca, AGACNP-BC
• Marycare Physical Therapy P.C.
• Anil A Masih, RN
• Arif Rehmat Masih, NP
• Mason & Bugayeva Home Care Services Inc.

• Medical Physician Assistant in Woodside, NY
• Providers in Woodside, NY by specialty
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.