Dominique Eboniece Martinez, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

355973 Issued in NY

Practice address

6414 Myrtle Ave
Glendale, NY 11385-6203

Phone

(718) 805-0037

Fax

(866) 221-0879

NPI assigned

Jun 20, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Dominique E McLaughlin Former name

Medicare fee-for-service enrollment

Enrolled in CA, NY2 enrollments

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Onclick Healthcare IncorporatedGroup PAC ID 9830511260, 63 clinicians

Kings County House Calls NP in Family Health PLLCGroup PAC ID 3971844606, 35 clinicians

Ny Family Practice Physicians, PCGroup PAC ID 4688731623, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Girling Health Care of New York Home health agency, Brooklyn, NY, CCN 337243
• Revival Home Health Care Home health agency, Staten Island, NY, CCN 337299
• Emerest Home Health Care of Long Island Home health agency, Flushing, NY, CCN 337189
• Four Seasons Nursing & Rehabilitation Chha Home health agency, Brooklyn, NY, CCN 337434
• Centers Home Health Revival (Bronx) Home health agency, Bronx, NY, CCN 337436

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Kings County House Calls NP in Family Health PLLC

  • General Practice Physician
  • Brooklyn, NY
  • NPI 1962976274
  Medicare reassignment Care Compare group NPD
• Ny Family Practice Physicians, PC

  • Primary Care Clinic/Center
  • Woodhaven, NY
  • NPI 1790936854
  Medicare reassignment Care Compare group NPD
• Onclick Healthcare Incorporated

  • Health Service Clinic/Center
  • Westlake Village, CA
  • NPI 1467074963
  Medicare reassignment Care Compare group
• Hollywood Internal Medicine Clinic Inc

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1780449744
  Medicare reassignment NPD
• Dr. Giovanni Marciano and Dr. Glenn Muraca Physicians, P.C.

  • Health Maintenance Organization
  • Woodhaven, NY
  • NPI 1528179587
  NPD (past)
• Ny Family Medical Docs PC

  • Family Medicine Physician
  • Woodhaven, NY
  • NPI 1992204903
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Alpine Home Health Care LLC

  • Home Health Agency
  • Bronx, NY
  • NPI 1912179763
  Care Compare affiliation
• FSNR Chha LLC

  dba Four Seasons Nursing and Reahbilitation Certified Home Health Agency

  • Home Health Agency
  • Brooklyn, NY
  • NPI 1093367039
  Care Compare affiliation
• Gamzel Ny, Inc

  dba Revival Home Health Care

  • Home Health Agency
  • Staten Island, NY
  • NPI 1841233178
  Care Compare affiliation
• HCS Certified Home Care Ny Inc

  dba Girling Health Care of New york, Inc

  • Home Health Agency
  • Brooklyn, NY
  • NPI 1568886653
  Care Compare affiliation
• Royal Care Certified Home Health Care LLC

  • Home Health Agency
  • Flushing, NY
  • NPI 1235529538
  Care Compare affiliation

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

{
    "created_epoch": "1687219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1225713829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 211226",
            "city": "WOODHAVEN",
            "state": "NY",
            "postal_code": "114216226",
            "telephone_number": "917-932-7378",
            "fax_number": "866-221-0879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6414 MYRTLE AVE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113856203",
            "telephone_number": "718-805-0037",
            "fax_number": "866-221-0879"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3709 Flatlands Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112343507",
            "country_code": "US",
            "telephone_number": "718-444-7766",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21534 Devonshire St Ste I #1049",
            "address_purpose": "LOCATION",
            "city": "Chatsworth",
            "state": "CA",
            "postal_code": "913112992",
            "country_code": "US",
            "telephone_number": "818-443-7035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "DOMINIQUE",
        "middle_name": "EBONIECE",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-20",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95026260",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "2023006023",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "355973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOMINIQUE",
            "last_name": "MCLAUGHLIN",
            "middle_name": "E",
            "credential": "FNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Samra Markisic, NP
• Marsh Creative Arts Therapy
• Catherine A Marsh, PHD
• Ryan Martin, DPT
• Suzanne E Martin, MS
• Shannon Victoria Martinez
• Nermin Marzouk
• Jorgena Mato, NP
• Monika Agnieszka Matysiak, RN
• Maximum Health & Wellness Glendale, LLC

• Family Nurse Practitioner in Glendale, NY
• Providers in Glendale, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.