Active NPI
Damian J. Martino MD PC
- Interventional Pain Medicine Physician
- Astoria, NY
National Provider Identifier
1245571306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 246439
- Legal business name
- DAMIAN J. MARTINO MD PC
- Practice address
- 3272 Steinway St
Suite 503
Astoria, NY 11103-4182 - Phone
- (917) 485-1905
- Fax
- (917) 456-0437
- NPI assigned
- Mar 13, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Damian J. Martino, M.D.
- Title
- President
- Phone
- (917) 485-1905
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | 246439 | NY | Primary |
Addresses
Primary practice location
3272 Steinway St
Suite 503
Astoria, NY 11103-4182
Mailing address
2452 44TH St, B3
Astoria, NY 11103-2060
Phone (917) 485-1905
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G100090927 | Other | NY | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3272 Steinway St
Ste B01
Astoria, NY 11103
Phone (917) 485-1905
3601 31st Ave
Ste 1B
Astoria, NY 11106
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pain Medicine Physician
- Astoria, NY
- NPI 1659537041
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363132800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1485302400000",
"number": "1245571306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2452 44TH ST, B3",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111032060",
"telephone_number": "917-485-1905",
"fax_number": "917-456-0437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3272 STEINWAY ST",
"address_2": "SUITE 503",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111034182",
"telephone_number": "917-485-1905",
"fax_number": "917-456-0437"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAMIAN J. MARTINO MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2013-03-13",
"last_updated": "2017-01-25",
"status": "A",
"authorized_official_last_name": "MARTINO",
"authorized_official_first_name": "DAMIAN",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "917-485-1905",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "NY",
"license": "246439",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "G100090927",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Astoria, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.